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 $6.17 Typical High $9.33 | Facility | None | $4.37 | $6.17 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.68 Typical High $6.17 | Professional | None | $4.37 | $4.68 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $2.95 Typical High $6.17 | Professional | None | $2.57 | $2.95 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $23.44 | Facility | None | $5.13 | $5.13 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $8.32 Typical High $12.88 | Professional | None | $2.51 | $8.32 | $12.88 |
BCBS Kansas City Setting Facility Modifier None Typical Low $7.76 Median $10.23 Typical High $19.50 | Facility | None | $7.76 | $10.23 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $11.22 Typical High $30.20 | Facility | None | $6.76 | $11.22 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $5.89 Typical High $10.96 | Professional | None | $3.02 | $5.89 | $10.96 |
Medica Setting Facility Modifier None Typical Low $4.68 Median $8.91 Typical High $100.00 | Facility | None | $4.68 | $8.91 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.45 Median $3.63 Typical High $6.46 | Professional | None | $2.45 | $3.63 | $6.46 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.80 Typical High $6.92 | Professional | None | $2.14 | $3.80 | $6.92 |
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 $2.19 Median $2.19 Typical High $2.95 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $1.17 | Professional | 53 · Discontinued | $0.87 | $0.87 | $1.17 |
Where Missouri sits
The same service costs 9.5 times more in Minnesota than in New Jersey. 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· 19th of 51
$6.17
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.