How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $707.95 | Professional | None | $37.15 | $37.15 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $354.81 | Professional | 52 · Reduced service | $18.62 | $18.62 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $46.77 | Professional | None | $30.90 | $30.90 | $46.77 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,318.26 | Professional | None | $758.58 | $977.24 | $1,318.26 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $177.83 Typical High $194.98 | Professional | 53 · Discontinued | $14.79 | $177.83 | $194.98 |
Where Alabama sits
The same service costs 120.2 times more in North Carolina than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alabama· 30th of 51
$759
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.