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 $3.89 Median $16.22 Typical High $26.30 | Facility | None | $3.89 | $16.22 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $6.31 | Professional | None | $3.39 | $3.39 | $6.31 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
BCBS Setting Facility Modifier None Typical Low $2.88 Median $12.88 Typical High $19.50 | Facility | None | $2.88 | $12.88 | $19.50 |
BCBS Setting Professional Modifier None Typical Low $2.69 Median $4.27 Typical High $6.17 | Professional | None | $2.69 | $4.27 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $10.00 Typical High $14.13 | Facility | None | $3.55 | $10.00 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $4.68 Typical High $7.76 | Professional | None | $3.16 | $4.68 | $7.76 |
Medica Setting Facility Modifier None Typical Low $3.72 Median $5.13 Typical High $100.00 | Facility | None | $3.72 | $5.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $2.75 Typical High $3.89 | Professional | None | $2.14 | $2.75 | $3.89 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.82 Typical High $6.03 | Professional | None | $2.14 | $2.82 | $6.03 |
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 $1.70 Median $1.70 Typical High $1.70 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Where Arizona sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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· 39th of 51
$4.27
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.