How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $616.60 Median $912.01 Typical High $977.24 | Facility | None | $616.60 | $912.01 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $616.60 | Professional | None | $436.52 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $660.69 | Professional | None | $30.90 | $30.90 | $660.69 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $645.65 Typical High $1,000.00 | Facility | None | $91.20 | $645.65 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $1,202.26 Typical High $3,630.78 | Professional | None | $154.88 | $1,202.26 | $3,630.78 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,479.11 | Professional | None | $812.83 | $1,000.00 | $1,479.11 |
2 more rates 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 52 · Reduced service Typical Low $218.78 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $218.78 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $117.49 | $123.03 | $123.03 |
Where Oklahoma 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.
Oklahoma· 16th of 51
$1,000
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.