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 $5.13 Median $9.12 Typical High $14.79 | Facility | None | $5.13 | $9.12 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $5.37 | Professional | None | $3.80 | $5.13 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
BCBS Setting Facility Modifier None Typical Low $12.88 Median $13.80 Typical High $20.42 | Facility | None | $12.88 | $13.80 | $20.42 |
BCBS Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.17 Typical High $11.48 | Facility | None | $3.31 | $6.17 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $12.30 Typical High $15.14 | Professional | None | $2.88 | $12.30 | $15.14 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $7.76 Typical High $10.23 | Facility | None | $4.27 | $7.76 | $10.23 |
Medica Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $9.55 | Professional | None | $2.14 | $3.02 | $9.55 |
United Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $5.13 | Facility | None | $3.02 | $3.02 | $5.13 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.02 Typical High $10.47 | Professional | None | $2.14 | $3.02 | $10.47 |
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 $2.19 Median $2.51 Typical High $2.69 | Professional | 52 · Reduced service | $2.19 | $2.51 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.02 Typical High $1.07 | Professional | 53 · Discontinued | $0.87 | $1.02 | $1.07 |
Where Kansas 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.
Kansas· 1st of 51
$12.88
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.