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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $14.79 Typical High $14.79 | Professional | None | $7.59 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | None | $8.13 | $8.13 | $9.55 |
BCBS Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.79 | Facility | None | $10.96 | $10.96 | $14.79 |
BCBS Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $15.85 | Professional | None | $10.96 | $15.85 | $15.85 |
CareSource Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $9.55 | Professional | None | $6.17 | $6.17 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $25.70 | Facility | None | $8.13 | $11.75 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $13.80 | Professional | None | $4.37 | $6.76 | $13.80 |
Qualchoice Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $11.75 | Professional | None | $9.33 | $10.96 | $11.75 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $9.55 | Facility | None | $8.71 | $8.71 | $9.55 |
United Setting Professional Modifier None Typical Low $3.98 Median $4.79 Typical High $10.96 | Professional | None | $3.98 | $4.79 | $10.96 |
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 $3.80 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $3.80 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $1.51 | $2.95 | $2.95 |
Where Arkansas sits
The same service costs 5.9 times more in Alaska 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.
Arkansas· 19th of 51
$10.96
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.