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 $7.24 Median $10.23 Typical High $18.20 | Facility | None | $7.24 | $10.23 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.24 Typical High $10.96 | Professional | None | $6.92 | $7.24 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $4.17 Median $4.90 Typical High $13.80 | Professional | None | $4.17 | $4.90 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $38.90 | Facility | None | $8.51 | $8.51 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $13.49 Typical High $21.38 | Professional | None | $4.17 | $13.49 | $21.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.88 Median $16.98 Typical High $31.62 | Facility | None | $12.88 | $16.98 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $18.62 Typical High $47.86 | Facility | None | $11.22 | $18.62 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $9.55 Typical High $18.20 | Professional | None | $4.90 | $9.55 | $18.20 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $25.12 Typical High $158.49 | Facility | None | $9.55 | $25.12 | $158.49 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $6.03 Typical High $10.23 | Professional | None | $4.07 | $6.03 | $10.23 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $3.55 Median $6.31 Typical High $11.48 | Professional | None | $3.55 | $6.31 | $11.48 |
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 $3.63 Median $3.63 Typical High $4.90 | Professional | 52 · Reduced service | $3.63 | $3.63 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.95 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.95 |
Where Missouri sits
The same service costs 14.8 times more in Minnesota 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.
Missouri· 20th of 51
$10.23
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.