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 $18.20 Median $22.91 Typical High $25.70 | Facility | None | $18.20 | $22.91 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $22.91 Typical High $22.91 | Professional | None | $11.48 | $22.91 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $18.20 | Professional | None | $14.45 | $14.45 | $18.20 |
BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $22.91 | Facility | None | $16.60 | $16.60 | $22.91 |
BCBS Setting Professional Modifier None Typical Low $16.60 Median $24.55 Typical High $24.55 | Professional | None | $16.60 | $24.55 | $24.55 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $14.45 | Professional | None | $9.55 | $9.55 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $18.20 Typical High $36.31 | Facility | None | $12.30 | $18.20 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $21.38 | Professional | None | $6.61 | $10.23 | $21.38 |
Qualchoice Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | None | $16.60 | $16.60 | $20.89 |
United Setting Facility Modifier None Typical Low $13.18 Median $14.45 Typical High $30.20 | Facility | None | $13.18 | $14.45 | $30.20 |
United Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $16.60 | Professional | None | $6.17 | $7.41 | $16.60 |
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 $5.75 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $5.75 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $2.29 | $4.57 | $4.57 |
Where Arkansas sits
The same service costs 10.2 times more in Vermont than in Maryland. 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· 26th of 51
$16.60
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.