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 $4.37 Median $6.03 Typical High $8.91 | Facility | None | $4.37 | $6.03 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.37 Typical High $6.46 | Professional | None | $4.27 | $4.37 | $6.46 |
Ambetter Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $8.13 | Professional | None | $2.45 | $2.45 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $22.91 | Facility | None | $5.01 | $5.01 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $7.94 Typical High $12.59 | Professional | None | $2.45 | $7.94 | $12.59 |
BCBS Kansas City Setting Facility Modifier None Typical Low $7.59 Median $10.00 Typical High $19.05 | Facility | None | $7.59 | $10.00 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $10.96 Typical High $28.18 | Facility | None | $6.76 | $10.96 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $5.89 Typical High $10.96 | Professional | None | $2.88 | $5.89 | $10.96 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $8.71 Typical High $60.26 | Facility | None | $4.47 | $8.71 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.40 Median $3.55 Typical High $6.03 | Professional | None | $2.40 | $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 $3.72 Typical High $6.76 | Professional | None | $2.09 | $3.72 | $6.76 |
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 $2.14 Median $2.14 Typical High $2.88 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.15 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.15 |
Where Missouri sits
The same service costs 8.9 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· 17th of 51
$6.03
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.