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 $5.01 Median $6.92 Typical High $10.72 | Facility | None | $5.01 | $6.92 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.01 Typical High $7.41 | Professional | None | $4.57 | $5.01 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $2.88 Typical High $5.89 | Professional | None | $2.57 | $2.88 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $26.92 | Facility | None | $5.75 | $5.75 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $9.12 Typical High $14.45 | Professional | None | $2.88 | $9.12 | $14.45 |
BCBS Kansas City Setting Facility Modifier None Typical Low $4.37 Median $5.75 Typical High $12.30 | Facility | None | $4.37 | $5.75 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $12.88 Typical High $33.11 | Facility | None | $7.59 | $12.88 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.61 Typical High $12.30 | Professional | None | $3.31 | $6.61 | $12.30 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $12.59 Typical High $60.26 | Facility | None | $5.25 | $12.59 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $7.08 | Professional | None | $2.51 | $4.07 | $7.08 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.27 Typical High $7.59 | Professional | None | $2.45 | $4.27 | $7.59 |
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 $2.45 Median $2.51 Typical High $3.31 | Professional | 52 · Reduced service | $2.45 | $2.51 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.00 Typical High $1.32 | Professional | 53 · Discontinued | $0.98 | $1.00 | $1.32 |
Where Missouri sits
The same service costs 12.9 times more in Vermont than in Alabama. 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· 17th of 51
$6.92
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.