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 $23.99 Median $33.88 Typical High $51.29 | Facility | None | $23.99 | $33.88 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $33.88 | Professional | None | $23.99 | $25.70 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $28.18 | Professional | None | $13.80 | $14.13 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $128.82 | Facility | None | $28.18 | $28.18 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $38.90 Typical High $70.79 | Professional | None | $13.80 | $38.90 | $70.79 |
BCBS Kansas City Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $104.71 | Facility | None | $42.66 | $56.23 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $61.66 Typical High $158.49 | Facility | None | $37.15 | $61.66 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $31.62 Typical High $58.88 | Professional | None | $16.22 | $31.62 | $58.88 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $48.98 Typical High $131.83 | Facility | None | $25.12 | $48.98 | $131.83 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $36.31 | Professional | None | $12.59 | $19.95 | $36.31 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $11.75 Median $20.89 Typical High $38.90 | Professional | None | $11.75 | $20.89 | $38.90 |
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 $11.75 Median $12.02 Typical High $16.22 | Professional | 52 · Reduced service | $11.75 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.46 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.46 |
Where Missouri sits
The same service costs 7.8 times more in Vermont than in Alabama. 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
$33.11
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.