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 $4.27 Median $6.03 Typical High $8.91 | Facility | None | $4.27 | $6.03 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.47 Typical High $5.89 | Professional | None | $4.17 | $4.47 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | None | $5.01 | $5.01 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $22.91 | Facility | None | $4.90 | $4.90 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $7.76 Typical High $12.59 | Professional | None | $2.45 | $7.76 | $12.59 |
BCBS Kansas City Setting Facility Modifier None Typical Low $7.59 Median $9.77 Typical High $18.62 | Facility | None | $7.59 | $9.77 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $10.96 Typical High $28.18 | Facility | None | $6.31 | $10.96 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $5.50 Typical High $10.23 | Professional | None | $2.88 | $5.50 | $10.23 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $8.71 Typical High $100.00 | Facility | None | $4.47 | $8.71 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.55 Typical High $6.03 | Professional | None | $2.29 | $3.55 | $6.03 |
United Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $6.61 | Professional | None | $2.09 | $3.63 | $6.61 |
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 $2.09 Median $2.14 Typical High $2.82 | Professional | 52 · Reduced service | $2.09 | $2.14 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.85 Typical High $1.12 | Professional | 53 · Discontinued | $0.83 | $0.85 | $1.12 |
Where Missouri sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 15th of 51
$5.89
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.