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 $9.33 Median $38.90 Typical High $61.66 | Facility | None | $9.33 | $38.90 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.23 | Professional | None | $7.94 | $7.94 | $10.23 |
BCBS Setting Facility Modifier None Typical Low $6.76 Median $30.90 Typical High $46.77 | Facility | None | $6.76 | $30.90 | $46.77 |
BCBS Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $14.45 | Professional | None | $6.31 | $10.00 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $23.44 Typical High $33.88 | Facility | None | $8.71 | $23.44 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $18.20 | Professional | None | $7.94 | $10.72 | $18.20 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $12.02 Typical High $70.79 | Facility | None | $8.91 | $12.02 | $70.79 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $10.96 | Professional | None | $5.01 | $7.08 | $10.96 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.08 Typical High $13.49 | Professional | None | $5.01 | $7.08 | $13.49 |
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 $3.98 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Where Arizona sits
The same service costs 4.5 times more in Kansas than in New Jersey. 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· 38th of 51
$10.00
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.