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 $10.47 Median $14.79 Typical High $22.91 | Facility | None | $10.47 | $14.79 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $14.13 | Professional | None | $10.47 | $11.22 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $56.23 | Facility | None | $12.30 | $12.30 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $18.62 Typical High $30.90 | Professional | None | $6.03 | $18.62 | $30.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $8.71 Median $11.48 Typical High $25.70 | Facility | None | $8.71 | $11.48 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $70.79 | Facility | None | $16.22 | $26.92 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $13.80 Typical High $26.30 | Professional | None | $7.08 | $13.80 | $26.30 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $21.88 Typical High $100.00 | Facility | None | $10.96 | $21.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $15.85 | Professional | None | $5.13 | $8.71 | $15.85 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $5.13 Median $9.12 Typical High $16.22 | Professional | None | $5.13 | $9.12 | $16.22 |
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 $5.25 Median $5.25 Typical High $7.08 | Professional | 52 · Reduced service | $5.25 | $5.25 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.14 Typical High $2.82 | Professional | 53 · Discontinued | $2.09 | $2.14 | $2.82 |
Where Missouri sits
The same service costs 5.6 times more in Alaska 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· 16th of 51
$14.45
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.