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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $34.67 Typical High $41.69 | Professional | None | $33.88 | $34.67 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $58.88 | Professional | None | $40.74 | $40.74 | $58.88 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $36.31 Typical High $57.54 | Facility | None | $34.67 | $36.31 | $57.54 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $229.09 | Professional | None | $36.31 | $56.23 | $229.09 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $33.11 | Facility | None | $23.99 | $23.99 | $33.11 |
United Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $69.18 | Professional | None | $33.11 | $40.74 | $69.18 |
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 $16.98 Median $17.38 Typical High $19.05 | Professional | 52 · Reduced service | $16.98 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.92 Typical High $7.59 | Professional | 53 · Discontinued | $6.76 | $6.92 | $7.59 |
Where Oklahoma sits
The same service costs 2.7 times more in Alaska than in New York. 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· 35th of 51
$42.66
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.