How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | None | $15.14 | $15.14 | $15.85 |
BCBS Setting Facility Modifier None Typical Low $19.95 Median $87.10 Typical High $165.96 | Facility | None | $19.95 | $87.10 | $165.96 |
BCBS Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $23.99 | Professional | None | $15.85 | $19.50 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $58.88 Typical High $123.03 | Facility | None | $37.15 | $58.88 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $23.99 | Professional | None | $10.00 | $12.88 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $19.50 Typical High $32.36 | Facility | None | $14.79 | $19.50 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $35.48 | Professional | None | $23.44 | $33.11 | $35.48 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $23.44 | Facility | None | $17.78 | $17.78 | $23.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $13.49 Typical High $27.54 | Professional | None | $8.32 | $13.49 | $27.54 |
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 $7.59 Median $7.59 Typical High $7.76 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.16 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska 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· 33rd of 51
$17.78
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.