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 $12.88 Median $22.39 Typical High $34.67 | Facility | None | $12.88 | $22.39 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $19.95 | Professional | None | $14.13 | $18.62 | $19.95 |
BCBS Setting Facility Modifier None Typical Low $18.62 Median $28.18 Typical High $29.51 | Facility | None | $18.62 | $28.18 | $29.51 |
BCBS Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $19.50 Typical High $40.74 | Facility | None | $12.30 | $19.50 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $26.92 Typical High $27.54 | Professional | None | $8.91 | $26.92 | $27.54 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $89.13 | Facility | None | $12.88 | $18.62 | $89.13 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $29.51 | Professional | None | $7.76 | $11.22 | $29.51 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $18.62 | Facility | None | $11.22 | $11.22 | $18.62 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $31.62 | Professional | None | $7.76 | $11.22 | $31.62 |
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 $7.94 Median $9.33 Typical High $9.77 | Professional | 52 · Reduced service | $7.94 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.72 Typical High $3.98 | Professional | 53 · Discontinued | $3.24 | $3.72 | $3.98 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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.
Kansas· 13th of 51
$19.50
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.