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 $3.89 Median $5.01 Typical High $14.45 | Facility | None | $3.89 | $5.01 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $6.03 | Professional | None | $3.89 | $3.89 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $5.50 Typical High $7.08 | Professional | None | $2.51 | $5.50 | $7.08 |
BCBS Setting Facility Modifier None Typical Low $7.59 Median $26.30 Typical High $60.26 | Facility | None | $7.59 | $26.30 | $60.26 |
BCBS Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $12.88 | Professional | None | $5.01 | $6.03 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $15.14 Typical High $31.62 | Facility | None | $9.55 | $15.14 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $6.46 | Professional | None | $2.45 | $3.24 | $6.46 |
Medcost Setting Facility Modifier None Typical Low $3.80 Median $5.25 Typical High $37.15 | Facility | None | $3.80 | $5.25 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $10.00 | Professional | None | $6.03 | $8.51 | $10.00 |
United Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $6.03 | Facility | None | $4.47 | $4.47 | $6.03 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.39 Typical High $7.08 | Professional | None | $2.09 | $3.39 | $7.08 |
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 $1.95 Median $1.95 Typical High $2.00 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.79 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.79 |
Where South Carolina sits
The same service costs 8.9 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.
South Carolina· 10th of 51
$7.24
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.