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 $12.88 Median $28.18 Typical High $40.74 | Facility | None | $12.88 | $28.18 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $13.80 | Professional | None | $9.55 | $12.88 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
BCBS Setting Facility Modifier None Typical Low $21.38 Median $22.39 Typical High $33.88 | Facility | None | $21.38 | $22.39 | $33.88 |
BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $16.60 Typical High $29.51 | Facility | None | $8.91 | $16.60 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $32.36 Typical High $32.36 | Professional | None | $7.94 | $32.36 | $32.36 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $21.38 Typical High $34.67 | Facility | None | $11.48 | $21.38 | $34.67 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $23.99 | Professional | None | $5.37 | $7.76 | $23.99 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $12.88 | Facility | None | $7.76 | $7.76 | $12.88 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.76 Typical High $26.92 | Professional | None | $5.37 | $7.76 | $26.92 |
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 $5.50 Median $6.46 Typical High $6.76 | Professional | 52 · Reduced service | $5.50 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.57 Typical High $2.75 | Professional | 53 · Discontinued | $2.24 | $2.57 | $2.75 |
Where Kansas sits
The same service costs 3.0 times more in Alaska 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· 5th of 51
$21.38
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.