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 $23.99 Median $23.99 Typical High $31.62 | Facility | None | $23.99 | $23.99 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $36.31 | Professional | None | $27.54 | $31.62 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $41.69 | Professional | None | $33.88 | $40.74 | $41.69 |
BCBS Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $38.02 | Professional | None | $21.88 | $36.31 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $60.26 | Professional | None | $30.90 | $44.67 | $60.26 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $28.18 Typical High $39.81 | Facility | None | $26.30 | $28.18 | $39.81 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $61.66 | Professional | None | $30.90 | $44.67 | $61.66 |
United Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $66.07 | Professional | None | $36.31 | $50.12 | $66.07 |
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 $12.59 Median $15.85 Typical High $18.20 | Professional | 52 · Reduced service | $12.59 | $15.85 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $7.24 | Professional | 53 · Discontinued | $5.01 | $6.31 | $7.24 |
Where New Mexico sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 38th of 51
$36.31
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.