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 $30.20 Median $30.20 Typical High $89.13 | Facility | None | $30.20 | $30.20 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $30.20 Typical High $30.20 | Professional | None | $26.30 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | None | $28.84 | $28.84 | $38.90 |
BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,187.76 | Facility | None | $1,548.82 | $1,548.82 | $2,187.76 |
BCBS Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | None | $21.88 | $21.88 | $28.84 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $42.66 Typical High $56.23 | Professional | None | $17.38 | $42.66 | $56.23 |
Qualchoice Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | None | $33.88 | $33.88 | $44.67 |
United Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $51.29 | Professional | None | $21.38 | $29.51 | $51.29 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Where Arkansas sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 44th of 51
$23.99
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.