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 $3.02 Median $4.17 Typical High $10.47 | Facility | None | $3.02 | $4.17 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.39 Typical High $5.50 | Professional | None | $2.57 | $3.39 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $1.48 Median $1.74 Typical High $2.45 | Professional | None | $1.48 | $1.74 | $2.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $16.22 | Facility | None | $3.47 | $3.47 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.38 Median $3.98 Typical High $6.31 | Professional | None | $1.38 | $3.98 | $6.31 |
BCBS Kansas City Setting Facility Modifier None Typical Low $3.89 Median $5.13 Typical High $9.55 | Facility | None | $3.89 | $5.13 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $7.59 Typical High $14.79 | Facility | None | $3.55 | $7.59 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $4.07 Typical High $5.62 | Professional | None | $1.51 | $4.07 | $5.62 |
Medica Setting Facility Modifier None Typical Low $3.09 Median $5.62 Typical High $100.00 | Facility | None | $3.09 | $5.62 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $3.16 Typical High $4.79 | Professional | None | $2.09 | $3.16 | $4.79 |
United Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Facility | None | $3.16 | $3.16 | $3.16 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.16 Typical High $5.37 | Professional | None | $2.09 | $3.16 | $5.37 |
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 $1.48 Median $1.51 Typical High $2.00 | Professional | 52 · Reduced service | $1.48 | $1.51 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.60 Typical High $0.79 | Professional | 53 · Discontinued | $0.59 | $0.60 | $0.79 |
Where Missouri sits
The same service costs 3.5 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.
Missouri· 16th of 51
$3.72
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.