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 $33.11 Median $61.66 Typical High $107.15 | Facility | None | $33.11 | $61.66 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $36.31 | Professional | None | $29.51 | $33.88 | $36.31 |
BCBS Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $128.82 | Facility | None | $81.28 | $87.10 | $128.82 |
BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $43.65 Typical High $77.62 | Facility | None | $23.99 | $43.65 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $87.10 Typical High $91.20 | Professional | None | $20.89 | $87.10 | $91.20 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $56.23 Typical High $75.86 | Facility | None | $29.51 | $56.23 | $75.86 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $63.10 | Professional | None | $14.13 | $20.42 | $63.10 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $33.88 | Facility | None | $20.42 | $20.42 | $33.88 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $70.79 | Professional | None | $14.13 | $20.42 | $70.79 |
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 $14.45 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.76 Typical High $7.24 | Professional | 53 · Discontinued | $5.89 | $6.76 | $7.24 |
Where Kansas sits
The same service costs 4.4 times more in Kansas 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.
Kansas· 1st of 51
$81.28
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.