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 $7.76 Median $10.96 Typical High $14.79 | Facility | None | $7.76 | $10.96 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.76 Typical High $14.79 | Professional | None | $7.24 | $7.76 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $7.08 | Professional | None | $6.03 | $6.92 | $7.08 |
BCBS Setting Facility Modifier None Typical Low $6.03 Median $26.30 Typical High $40.74 | Facility | None | $6.03 | $26.30 | $40.74 |
BCBS Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $46.77 | Professional | None | $6.76 | $6.76 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.59 Typical High $13.49 | Facility | None | $8.91 | $12.59 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $9.12 Typical High $75.86 | Facility | None | $6.92 | $9.12 | $75.86 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
4 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 $3.89 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | 55 · Aftercare only | $1.17 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.78 | $0.78 | $0.78 |
Where Arizona sits
The same service costs 2.0 times more in Alaska than in Maryland. 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· 2nd of 51
$10.72
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.