How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $9.33 Typical High $9.33 | Professional | None | $6.31 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $10.00 Typical High $14.45 | Professional | None | $8.71 | $10.00 | $14.45 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $11.22 Typical High $11.22 | Professional | None | $6.61 | $11.22 | $11.22 |
Providence Setting Facility Modifier None Typical Low $10.23 Median $11.75 Typical High $11.75 | Facility | None | $10.23 | $11.75 | $11.75 |
Providence Setting Professional Modifier None Typical Low $8.71 Median $10.00 Typical High $14.45 | Professional | None | $8.71 | $10.00 | $14.45 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $15.14 | Professional | None | $7.94 | $11.22 | $15.14 |
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 $3.16 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $3.16 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.26 | $1.86 | $1.86 |
Where New Mexico sits
The same service costs 2.6 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.
New Mexico· 32nd 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.