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 $0.08 Median $0.08 Typical High $2.51 | Facility | None | $0.08 | $0.08 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 52 · Reduced service | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Cigna Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.12 | Facility | None | $0.09 | $0.09 | $0.12 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.21 | Professional | None | $0.09 | $0.09 | $0.21 |
United Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
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 JA · Given by IV Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | JA · Given by IV | $8.91 | $8.91 | $8.91 |
Where Alabama sits
The same service costs 14.5 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.
Alabama· 45th of 51
$0.09
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.