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 $53.70 Median $223.87 Typical High $363.08 | Facility | None | $53.70 | $223.87 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | None | $46.77 | $46.77 | $58.88 |
BCBS Setting Facility Modifier None Typical Low $38.90 Median $177.83 Typical High $269.15 | Facility | None | $38.90 | $177.83 | $269.15 |
BCBS Setting Professional Modifier None Typical Low $36.31 Median $58.88 Typical High $83.18 | Professional | None | $36.31 | $58.88 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $134.90 Typical High $194.98 | Facility | None | $53.70 | $134.90 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $79.43 Typical High $104.71 | Professional | None | $40.74 | $79.43 | $104.71 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $331.13 | Facility | None | $46.77 | $69.18 | $331.13 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $69.18 | Professional | None | $29.51 | $29.51 | $69.18 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $56.23 | Professional | None | $29.51 | $29.51 | $56.23 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.33 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Georgia. 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.
Arizona· 39th of 51
$56.23
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.