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 $5.75 Median $10.23 Typical High $44.67 | Facility | None | $5.75 | $10.23 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $12.02 | Professional | None | $5.75 | $5.75 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $6.03 | Professional | None | $4.37 | $5.62 | $6.03 |
BCBS Setting Facility Modifier None Typical Low $4.90 Median $22.39 Typical High $33.88 | Facility | None | $4.90 | $22.39 | $33.88 |
BCBS Setting Professional Modifier None Typical Low $4.57 Median $7.24 Typical High $10.47 | Professional | None | $4.57 | $7.24 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $16.98 Typical High $23.99 | Facility | None | $6.31 | $16.98 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $7.41 Typical High $13.49 | Professional | None | $5.75 | $7.41 | $13.49 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $8.71 Typical High $100.00 | Facility | None | $6.46 | $8.71 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $7.08 | Professional | None | $3.63 | $5.13 | $7.08 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.13 Typical High $9.77 | Professional | None | $3.63 | $5.13 | $9.77 |
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 $2.88 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.15 |
Where Arizona sits
The same service costs 10.5 times more in Vermont than in Maryland. 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.
Arizona· 42nd of 51
$7.24
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.