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 $2.69 Median $3.98 Typical High $5.89 | Facility | None | $2.69 | $3.98 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.09 Typical High $4.17 | Professional | None | $2.69 | $3.09 | $4.17 |
Ambetter Setting Professional Modifier None Typical Low $1.35 Median $1.58 Typical High $5.13 | Professional | None | $1.35 | $1.58 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $14.79 | Facility | None | $3.16 | $3.16 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $5.01 Typical High $7.94 | Professional | None | $1.58 | $5.01 | $7.94 |
BCBS Setting Facility Modifier None Typical Low $4.79 Median $6.31 Typical High $12.02 | Facility | None | $4.79 | $6.31 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $6.92 Typical High $17.78 | Facility | None | $4.17 | $6.92 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $3.63 Typical High $6.76 | Professional | None | $1.82 | $3.63 | $6.76 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $15.85 Typical High $63.10 | Facility | None | $3.31 | $15.85 | $63.10 |
Medica Setting Professional Modifier None Typical Low $1.91 Median $3.16 Typical High $4.79 | Professional | None | $1.91 | $3.16 | $4.79 |
United Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.16 Typical High $4.90 | Professional | None | $1.91 | $3.16 | $4.90 |
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 $1.35 Median $1.38 Typical High $1.82 | Professional | 52 · Reduced service | $1.35 | $1.38 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.55 Typical High $0.72 | Professional | 53 · Discontinued | $0.54 | $0.55 | $0.72 |
Where Missouri sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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
$3.80
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.