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 Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $35.48 | Professional | None | $26.92 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.22 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $16.22 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | None | $26.92 | $26.92 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $125.89 Typical High $141.25 | Facility | None | $64.57 | $125.89 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
United Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $162.18 | Facility | None | $117.49 | $123.03 | $162.18 |
United Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $32.36 | Professional | None | $20.42 | $25.70 | $32.36 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | 59 · Distinct service | $30.20 | $30.20 | $36.31 |
Where Alabama sits
The same service costs 3.0 times more in North Carolina 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.
Alabama· 36th of 51
$27.54
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.