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 $0.05 Median $0.08 Typical High $0.12 | Facility | None | $0.05 | $0.08 | $0.12 |
Aetna Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
BCBS Setting Facility Modifier None Typical Low $0.04 Median $0.19 Typical High $0.27 | Facility | None | $0.04 | $0.19 | $0.27 |
BCBS Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.34 | Professional | None | $0.05 | $0.05 | $0.34 |
Cigna Setting Facility Modifier None Typical Low $0.06 Median $0.09 Typical High $0.09 | Facility | None | $0.06 | $0.09 | $0.09 |
Cigna Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
Medica Setting Facility Modifier None Typical Low $0.06 Median $0.07 Typical High $75.86 | Facility | None | $0.06 | $0.07 | $75.86 |
Medica Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
United Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 52 · Reduced service | $0.03 | $0.03 | $0.03 |
Where Arizona sits
The same service costs 15.5 times more in Texas than in Minnesota. 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.
Arizona· 26th of 51
$0.06
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.