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 $64.57 Median $64.57 Typical High $77.62 | Facility | None | $64.57 | $64.57 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $64.57 | Professional | None | $43.65 | $64.57 | $64.57 |
BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $79.43 | Facility | None | $58.88 | $58.88 | $79.43 |
BCBS Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $77.62 | Professional | None | $52.48 | $77.62 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None | $33.11 | $33.11 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $72.44 Typical High $117.49 | Facility | None | $40.74 | $72.44 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $46.77 Typical High $83.18 | Professional | None | $23.44 | $46.77 | $83.18 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $51.29 | Facility | None | $46.77 | $46.77 | $51.29 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $51.29 | Professional | None | $21.38 | $30.90 | $51.29 |
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 $20.42 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $20.42 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $8.32 | $12.88 | $12.88 |
Where Arkansas sits
The same service costs 6.0 times more in California than in Oklahoma. 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· 16th of 51
$58.88
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.