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 $6.31 Median $6.46 Typical High $8.71 | Facility | None | $6.31 | $6.46 | $8.71 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $5.01 | Facility | 52 · Reduced service | $3.16 | $3.16 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.76 Typical High $8.91 | Professional | None | $5.75 | $6.76 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $3.24 Typical High $3.39 | Professional | 52 · Reduced service | $2.82 | $3.24 | $3.39 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $6.76 Typical High $6.76 | Professional | None | $3.39 | $6.76 | $6.76 |
BCBS Setting Facility Modifier None Typical Low $5.01 Median $7.59 Typical High $12.59 | Facility | None | $5.01 | $7.59 | $12.59 |
BCBS Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $5.62 Typical High $9.77 | Professional | None | $4.27 | $5.62 | $9.77 |
Health Alliance Plan Setting Facility Modifier None Typical Low $6.31 Median $26.30 Typical High $72.44 | Facility | None | $6.31 | $26.30 | $72.44 |
Health Alliance Plan Setting Facility Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $5.01 | Facility | 52 · Reduced service | $3.16 | $3.16 | $5.01 |
Health Alliance Plan Setting Professional Modifier None Typical Low $5.75 Median $7.41 Typical High $12.59 | Professional | None | $5.75 | $7.41 | $12.59 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.16 |
Priority Health Setting Professional Modifier None Typical Low $4.27 Median $6.76 Typical High $8.71 | Professional | None | $4.27 | $6.76 | $8.71 |
United Setting Facility Modifier None Typical Low $2.24 Median $6.03 Typical High $20.89 | Facility | None | $2.24 | $6.03 | $20.89 |
United Setting Professional Modifier None Typical Low $2.82 Median $5.50 Typical High $8.71 | Professional | None | $2.82 | $5.50 | $8.71 |
3 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 Facility Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $2.00 | Facility | 53 · Discontinued | $1.26 | $1.26 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.29 Typical High $1.35 | Professional | 53 · Discontinued | $1.12 | $1.29 | $1.35 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.26 |
Where Michigan sits
The same service costs 10.0 times more in Minnesota 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.
Michigan· 18th of 51
$7.94
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.