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 $2.95 Median $6.31 Typical High $22.91 | Facility | None | $2.95 | $6.31 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $5.25 | Professional | None | $2.95 | $2.95 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $2.88 Typical High $3.09 | Professional | None | $2.19 | $2.88 | $3.09 |
BCBS Setting Facility Modifier None Typical Low $2.45 Median $11.22 Typical High $16.98 | Facility | None | $2.45 | $11.22 | $16.98 |
BCBS Setting Professional Modifier None Typical Low $2.29 Median $3.72 Typical High $5.25 | Professional | None | $2.29 | $3.72 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $8.71 Typical High $12.30 | Facility | None | $3.16 | $8.71 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $6.76 | Professional | None | $3.02 | $4.07 | $6.76 |
Medica Setting Facility Modifier None Typical Low $3.24 Median $4.37 Typical High $100.00 | Facility | None | $3.24 | $4.37 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.86 Median $2.57 Typical High $3.55 | Professional | None | $1.86 | $2.57 | $3.55 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.57 Typical High $6.03 | Professional | None | $1.86 | $2.57 | $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 $1.48 Median $1.48 Typical High $1.48 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | 53 · Discontinued | $0.59 | $0.59 | $0.59 |
Where Arizona sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 41st of 51
$3.72
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.