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 $173.78 Median $173.78 Typical High $208.93 | Facility | None | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $173.78 | Professional | None | $109.65 | $173.78 | $173.78 |
BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Facility | None | $154.88 | $154.88 | $208.93 |
BCBS Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $204.17 | Professional | None | $123.03 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $257.04 | Facility | None | $109.65 | $204.17 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $190.55 | Professional | None | $61.66 | $70.79 | $190.55 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $138.04 | Facility | None | $123.03 | $123.03 | $138.04 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $138.04 | Professional | None | $57.54 | $81.28 | $138.04 |
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 $54.95 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $54.95 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $34.67 | $34.67 |
Where Arkansas sits
The same service costs 5.5 times more in Texas than in Alabama. 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.
Arkansas· 12th of 51
$155
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.