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 $20.89 Median $56.23 Typical High $141.25 | Facility | None | $20.89 | $56.23 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.62 | Professional | None | $18.20 | $18.20 | $18.62 |
BCBS Setting Facility Modifier None Typical Low $15.49 Median $70.79 Typical High $107.15 | Facility | None | $15.49 | $70.79 | $107.15 |
BCBS Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $33.11 | Professional | None | $14.45 | $22.91 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $53.70 Typical High $75.86 | Facility | None | $17.38 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $24.55 Typical High $41.69 | Professional | None | $13.49 | $24.55 | $41.69 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $27.54 Typical High $128.82 | Facility | None | $18.20 | $27.54 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $19.05 | Professional | None | $11.48 | $11.75 | $19.05 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $27.54 | Professional | None | $11.48 | $11.75 | $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 $9.12 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Alabama. 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.
Arizona· 41st of 51
$21.88
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.