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 $54.95 Median $229.09 Typical High $371.54 | Facility | None | $54.95 | $229.09 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
BCBS Setting Facility Modifier None Typical Low $39.81 Median $181.97 Typical High $275.42 | Facility | None | $39.81 | $181.97 | $275.42 |
BCBS Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $85.11 | Professional | None | $37.15 | $60.26 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $138.04 Typical High $199.53 | Facility | None | $45.71 | $138.04 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $109.65 | Professional | None | $35.48 | $64.57 | $109.65 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $338.84 | Facility | None | $47.86 | $70.79 | $338.84 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $30.90 Typical High $42.66 | Professional | None | $30.20 | $30.90 | $42.66 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.90 Typical High $72.44 | Professional | None | $30.20 | $30.90 | $72.44 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 37th of 51
$54.95
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.