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 $14.13 Median $19.95 Typical High $30.20 | Facility | None | $14.13 | $19.95 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.79 Typical High $20.89 | Professional | None | $13.80 | $14.79 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $16.60 | Professional | None | $8.13 | $8.13 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $75.86 | Facility | None | $16.22 | $16.22 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $22.91 Typical High $41.69 | Professional | None | $8.13 | $22.91 | $41.69 |
BCBS Kansas City Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $61.66 | Facility | None | $24.55 | $32.36 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $36.31 Typical High $93.33 | Facility | None | $21.88 | $36.31 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $18.20 Typical High $34.67 | Professional | None | $9.33 | $18.20 | $34.67 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $30.20 Typical High $100.00 | Facility | None | $14.79 | $30.20 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $11.48 Typical High $20.42 | Professional | None | $7.41 | $11.48 | $20.42 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $6.92 Median $12.02 Typical High $21.88 | Professional | None | $6.92 | $12.02 | $21.88 |
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 $6.92 Median $7.08 Typical High $9.33 | Professional | 52 · Reduced service | $6.92 | $7.08 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.82 Typical High $3.72 | Professional | 53 · Discontinued | $2.75 | $2.82 | $3.72 |
Where Missouri sits
The same service costs 8.5 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
$19.50
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.