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 $11.48 Median $16.98 Typical High $24.55 | Facility | None | $11.48 | $16.98 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $17.38 | Professional | None | $9.77 | $12.88 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $21.88 | Professional | None | $6.03 | $6.76 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $61.66 | Facility | None | $13.49 | $13.49 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $20.89 Typical High $33.88 | Professional | None | $9.12 | $20.89 | $33.88 |
BCBS Kansas City Setting Facility Modifier None Typical Low $19.95 Median $26.30 Typical High $50.12 | Facility | None | $19.95 | $26.30 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $29.51 Typical High $109.65 | Facility | None | $18.62 | $29.51 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $15.14 Typical High $33.88 | Professional | None | $10.23 | $15.14 | $33.88 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $24.55 Typical High $100.00 | Facility | None | $12.02 | $24.55 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $17.38 | Professional | None | $6.46 | $9.55 | $17.38 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $5.62 Median $10.00 Typical High $18.20 | Professional | None | $5.62 | $10.00 | $18.20 |
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 $5.75 Median $5.75 Typical High $7.76 | Professional | 52 · Reduced service | $5.75 | $5.75 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $3.09 | Professional | 53 · Discontinued | $2.29 | $2.29 | $3.09 |
Where Missouri sits
The same service costs 10.7 times more in Vermont 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· 18th of 51
$16.22
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.