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 $14.45 Median $21.38 Typical High $30.90 | Facility | None | $14.45 | $21.38 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $20.42 | Professional | None | $14.13 | $14.79 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | None | $16.98 | $16.98 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $77.62 | Facility | None | $16.60 | $16.60 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $25.12 Typical High $42.66 | Professional | None | $8.32 | $25.12 | $42.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $63.10 | Facility | None | $25.70 | $33.11 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $37.15 Typical High $95.50 | Facility | None | $21.88 | $37.15 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $19.05 Typical High $35.48 | Professional | None | $9.77 | $19.05 | $35.48 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $30.20 Typical High $79.43 | Facility | None | $15.14 | $30.20 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $20.89 | Professional | None | $7.59 | $12.02 | $20.89 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $7.08 Median $12.30 Typical High $22.39 | Professional | None | $7.08 | $12.30 | $22.39 |
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 $7.08 Median $7.24 Typical High $9.55 | Professional | 52 · Reduced service | $7.08 | $7.24 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.88 Typical High $3.89 | Professional | 53 · Discontinued | $2.82 | $2.88 | $3.89 |
Where Missouri sits
The same service costs 7.9 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· 15th of 51
$19.95
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.