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 $66.07 Median $72.44 Typical High $81.28 | Facility | None | $66.07 | $72.44 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $74.13 | Professional | None | $63.10 | $66.07 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $63.10 Typical High $107.15 | Facility | None | $7.76 | $63.10 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $45.71 | Professional | None | $30.90 | $30.90 | $45.71 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $109.65 | Facility | None | $58.88 | $58.88 | $109.65 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $102.33 Typical High $630.96 | Professional | None | $36.31 | $102.33 | $630.96 |
United Setting Facility Modifier None Typical Low $16.60 Median $60.26 Typical High $97.72 | Facility | None | $16.60 | $60.26 | $97.72 |
United Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $57.54 | Professional | None | $34.67 | $43.65 | $57.54 |
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 $31.62 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $31.62 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $14.79 | Professional | 53 · Discontinued | $12.59 | $13.18 | $14.79 |
Where Oklahoma sits
The same service costs 9.3 times more in Alaska than in Hawaii. 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.
Oklahoma· 47th of 51
$43.65
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.