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 $16.22 Median $23.99 Typical High $33.88 | Facility | None | $16.22 | $23.99 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.60 Typical High $22.91 | Professional | None | $16.22 | $16.60 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $87.10 | Facility | None | $19.05 | $19.05 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $30.20 Typical High $47.86 | Professional | None | $9.33 | $30.20 | $47.86 |
BCBS Kansas City Setting Facility Modifier None Typical Low $28.84 Median $38.02 Typical High $70.79 | Facility | None | $28.84 | $38.02 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $107.15 | Facility | None | $25.12 | $41.69 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $40.74 | Professional | None | $10.96 | $21.88 | $40.74 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $33.88 Typical High $95.50 | Facility | None | $16.98 | $33.88 | $95.50 |
Medica Setting Professional Modifier None Typical Low $8.51 Median $13.49 Typical High $23.99 | Professional | None | $8.51 | $13.49 | $23.99 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $7.94 Median $14.13 Typical High $25.70 | Professional | None | $7.94 | $14.13 | $25.70 |
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 $8.13 Median $8.13 Typical High $10.96 | Professional | 52 · Reduced service | $8.13 | $8.13 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $4.37 | Professional | 53 · Discontinued | $3.24 | $3.24 | $4.37 |
Where Missouri sits
The same service costs 5.0 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· 18th of 51
$22.91
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.