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 $7.59 Median $14.13 Typical High $23.44 | Facility | None | $7.59 | $14.13 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.59 Typical High $8.13 | Professional | None | $6.61 | $7.59 | $8.13 |
BCBS Setting Facility Modifier None Typical Low $21.88 Median $22.91 Typical High $34.67 | Facility | None | $21.88 | $22.91 | $34.67 |
BCBS Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $9.55 Typical High $17.78 | Facility | None | $5.25 | $9.55 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $19.05 Typical High $33.88 | Professional | None | $4.57 | $19.05 | $33.88 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $12.02 Typical High $19.95 | Facility | None | $6.92 | $12.02 | $19.95 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $14.45 | Professional | None | $3.24 | $4.57 | $14.45 |
United Setting Facility Modifier None Typical Low $4.57 Median $7.59 Typical High $15.14 | Facility | None | $4.57 | $7.59 | $15.14 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $15.85 | Professional | None | $3.24 | $4.57 | $15.85 |
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 $3.31 Median $3.80 Typical High $4.07 | Professional | 52 · Reduced service | $3.31 | $3.80 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.51 Typical High $1.62 | Professional | 53 · Discontinued | $1.32 | $1.51 | $1.62 |
Where Kansas sits
The same service costs 3.8 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
$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.