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 $18.20 Median $26.92 Typical High $38.90 | Facility | None | $18.20 | $26.92 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $23.99 | Professional | None | $15.49 | $18.20 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $97.72 | Facility | None | $20.89 | $20.89 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $26.30 Typical High $39.81 | Professional | None | $8.51 | $26.30 | $39.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $23.44 Median $30.90 Typical High $58.88 | Facility | None | $23.44 | $30.90 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $46.77 Typical High $89.13 | Facility | None | $20.42 | $46.77 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $23.99 Typical High $33.11 | Professional | None | $9.12 | $23.99 | $33.11 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $100.00 | Facility | None | $19.05 | $36.31 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $25.12 | Professional | None | $8.91 | $12.59 | $25.12 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $28.18 | Professional | None | $8.91 | $12.59 | $28.18 |
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 $8.91 Median $9.12 Typical High $12.02 | Professional | 52 · Reduced service | $8.91 | $9.12 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.79 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.79 |
Where Missouri sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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
$23.44
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.