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 $4.90 Median $15.85 Typical High $15.85 | Facility | None | $4.90 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.90 Typical High $5.25 | Professional | None | $4.27 | $4.90 | $5.25 |
BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.77 Typical High $14.79 | Facility | None | $9.33 | $9.77 | $14.79 |
BCBS Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $6.46 Typical High $11.48 | Facility | None | $3.47 | $6.46 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $6.61 | Professional | None | $2.95 | $2.95 | $6.61 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $8.13 Typical High $10.72 | Facility | None | $4.90 | $8.13 | $10.72 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $10.00 | Professional | None | $2.09 | $2.95 | $10.00 |
United Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $4.90 | Facility | None | $2.95 | $2.95 | $4.90 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $10.23 | Professional | None | $2.09 | $2.95 | $10.23 |
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 $2.14 Median $2.45 Typical High $2.63 | Professional | 52 · Reduced service | $2.14 | $2.45 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $1.00 Typical High $1.05 | Professional | 53 · Discontinued | $0.85 | $1.00 | $1.05 |
Where Kansas sits
The same service costs 3.6 times more in Alaska than in New Mexico. 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.
Kansas· 2nd of 51
$9.33
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.