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 $12.02 Median $16.98 Typical High $25.70 | Facility | None | $12.02 | $16.98 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.88 Typical High $16.98 | Professional | None | $12.02 | $12.88 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $64.57 | Facility | None | $14.13 | $14.13 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $21.38 Typical High $35.48 | Professional | None | $6.92 | $21.38 | $35.48 |
BCBS Kansas City Setting Facility Modifier None Typical Low $21.38 Median $28.18 Typical High $53.70 | Facility | None | $21.38 | $28.18 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $30.90 Typical High $81.28 | Facility | None | $18.62 | $30.90 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $16.22 Typical High $30.20 | Professional | None | $8.13 | $16.22 | $30.20 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $24.55 Typical High $204.17 | Facility | None | $12.59 | $24.55 | $204.17 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $17.78 | Professional | None | $6.31 | $10.00 | $17.78 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $5.89 Median $10.47 Typical High $19.05 | Professional | None | $5.89 | $10.47 | $19.05 |
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 $6.03 Median $6.03 Typical High $8.13 | Professional | 52 · Reduced service | $6.03 | $6.03 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.45 Typical High $3.24 | Professional | 53 · Discontinued | $2.40 | $2.45 | $3.24 |
Where Missouri sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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
$16.98
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.