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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | None | $26.30 | $26.30 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $37.15 Typical High $1,148.15 | Facility | None | $35.48 | $37.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $23.44 Typical High $39.81 | Professional | None | $15.49 | $23.44 | $39.81 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $138.04 | Facility | None | $26.92 | $33.88 | $138.04 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $194.98 | Professional | None | $25.12 | $32.36 | $194.98 |
United Setting Facility Modifier None Typical Low $95.50 Median $346.74 Typical High $562.34 | Facility | None | $95.50 | $346.74 | $562.34 |
United Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $43.65 | Professional | None | $24.55 | $30.20 | $43.65 |
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 $13.18 Median $13.49 Typical High $14.45 | Professional | 52 · Reduced service | $13.18 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.37 Typical High $5.89 | Professional | 53 · Discontinued | $5.25 | $5.37 | $5.89 |
Where Oklahoma sits
The same service costs 3.6 times more in Minnesota than in Kentucky. 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· 37th of 51
$30.90
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.