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 $14.79 Median $30.90 Typical High $53.70 | Facility | None | $14.79 | $30.90 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $18.20 | Professional | None | $12.88 | $16.98 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.02 | Professional | None | $10.47 | $10.47 | $12.02 |
BCBS Setting Facility Modifier None Typical Low $69.18 Median $72.44 Typical High $109.65 | Facility | None | $69.18 | $72.44 | $109.65 |
BCBS Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $21.88 Typical High $38.90 | Facility | None | $12.02 | $21.88 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $44.67 Typical High $81.28 | Professional | None | $10.47 | $44.67 | $81.28 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $28.18 Typical High $37.15 | Facility | None | $14.79 | $28.18 | $37.15 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $32.36 | Professional | None | $7.24 | $10.23 | $32.36 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $16.98 | Facility | None | $10.23 | $10.23 | $16.98 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $35.48 | Professional | None | $7.24 | $10.23 | $35.48 |
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 $7.41 Median $8.51 Typical High $9.12 | Professional | 52 · Reduced service | $7.41 | $8.51 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.39 Typical High $3.63 | Professional | 53 · Discontinued | $2.95 | $3.39 | $3.63 |
Where Kansas sits
The same service costs 4.2 times more in Kansas 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.
Kansas· 1st of 51
$53.70
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.