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 $4.37 Median $7.94 Typical High $13.80 | Facility | None | $4.37 | $7.94 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $4.37 Typical High $4.68 | Professional | None | $3.31 | $4.37 | $4.68 |
Ambetter Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.09 | Professional | None | $2.69 | $2.69 | $3.09 |
BCBS Setting Facility Modifier None Typical Low $14.45 Median $15.14 Typical High $22.39 | Facility | None | $14.45 | $15.14 | $22.39 |
BCBS Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $5.62 Typical High $10.00 | Facility | None | $3.09 | $5.62 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $11.48 Typical High $16.98 | Professional | None | $2.75 | $11.48 | $16.98 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $7.24 Typical High $12.02 | Facility | None | $3.98 | $7.24 | $12.02 |
Medica Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $8.32 | Professional | None | $1.86 | $2.63 | $8.32 |
United Setting Facility Modifier None Typical Low $2.63 Median $4.37 Typical High $15.14 | Facility | None | $2.63 | $4.37 | $15.14 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $9.12 | Professional | None | $1.86 | $2.63 | $9.12 |
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 $1.91 Median $2.19 Typical High $2.34 | Professional | 52 · Reduced service | $1.91 | $2.19 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.87 Typical High $0.93 | Professional | 53 · Discontinued | $0.76 | $0.87 | $0.93 |
Where Kansas 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.
Kansas· 1st of 51
$13.80
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.