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 $416.87 Median $416.87 Typical High $501.19 | Facility | None | $416.87 | $416.87 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $416.87 | Professional | None | $263.03 | $416.87 | $416.87 |
BCBS Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $512.86 | Facility | None | $380.19 | $380.19 | $512.86 |
BCBS Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $416.87 | Professional | None | $281.84 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $346.74 Typical High $616.60 | Facility | None | $154.88 | $346.74 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $489.78 | Professional | None | $95.50 | $95.50 | $489.78 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $331.13 | Facility | None | $295.12 | $295.12 | $331.13 |
United Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $223.87 | Professional | None | $109.65 | $138.04 | $223.87 |
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 $131.83 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $131.83 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $52.48 | $83.18 | $83.18 |
Where Arkansas sits
The same service costs 6.5 times more in Texas than in Kentucky. 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· 8th of 51
$380
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.