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 $912.01 Median $912.01 Typical High $1,096.48 | Facility | None | $912.01 | $912.01 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $912.01 Typical High $912.01 | Professional | None | $467.74 | $912.01 | $912.01 |
BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Facility | None | $660.69 | $660.69 | $891.25 |
BCBS Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $870.96 | Professional | None | $524.81 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $1,122.02 | Facility | None | $467.74 | $870.96 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $851.14 | Professional | None | $331.13 | $416.87 | $851.14 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Facility | None | $524.81 | $524.81 | $588.84 |
United Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $794.33 | Professional | None | $245.47 | $398.11 | $794.33 |
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 $234.42 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $234.42 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $93.33 | $181.97 | $181.97 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 15th of 51
$661
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.