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 $331.13 Median $331.13 Typical High $398.11 | Facility | None | $331.13 | $331.13 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $331.13 | Professional | None | $208.93 | $331.13 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Facility | None | $295.12 | $295.12 | $407.38 |
BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $295.12 | Professional | None | $194.98 | $194.98 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Professional | None | $169.82 | $169.82 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $537.03 | Facility | None | $208.93 | $338.84 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $371.54 | Professional | None | $120.23 | $151.36 | $371.54 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $263.03 | Facility | None | $234.42 | $234.42 | $263.03 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $316.23 | Professional | None | $109.65 | $158.49 | $316.23 |
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 $104.71 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $104.71 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $66.07 | $66.07 |
Where Arkansas sits
The same service costs 4.5 times more in Alaska than in Georgia. 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.
Arkansas· 15th of 51
$288
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.