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 $19.50 Median $27.54 Typical High $48.98 | Facility | None | $19.50 | $27.54 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $24.55 | Professional | None | $12.59 | $19.95 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $107.15 | Facility | None | $22.91 | $22.91 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $15.85 Typical High $41.69 | Professional | None | $9.12 | $15.85 | $41.69 |
BCBS Kansas City Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $63.10 | Facility | None | $31.62 | $35.48 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $51.29 Typical High $186.21 | Facility | None | $30.90 | $51.29 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $26.92 | Professional | None | $10.00 | $10.96 | $26.92 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $39.81 Typical High $109.65 | Facility | None | $19.95 | $39.81 | $109.65 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $27.54 | Professional | None | $9.55 | $13.80 | $27.54 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $30.90 | Professional | None | $9.55 | $13.80 | $30.90 |
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 $9.77 Median $9.77 Typical High $13.18 | Professional | 52 · Reduced service | $9.77 | $9.77 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.98 Typical High $5.25 | Professional | 53 · Discontinued | $3.89 | $3.98 | $5.25 |
Where Missouri sits
The same service costs 9.8 times more in Vermont than in Kentucky. 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· 31st of 51
$19.95
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.