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 $4.07 Median $6.17 Typical High $8.51 | Facility | None | $4.07 | $6.17 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.17 Typical High $5.62 | Professional | None | $4.07 | $4.17 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $5.75 | Professional | None | $2.75 | $2.75 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $21.88 | Facility | None | $4.79 | $4.79 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $7.41 Typical High $12.02 | Professional | None | $2.34 | $7.41 | $12.02 |
BCBS Kansas City Setting Facility Modifier None Typical Low $7.24 Median $9.33 Typical High $17.78 | Facility | None | $7.24 | $9.33 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $10.47 Typical High $26.92 | Facility | None | $6.31 | $10.47 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $5.50 Typical High $9.77 | Professional | None | $2.75 | $5.50 | $9.77 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $8.32 Typical High $100.00 | Facility | None | $4.27 | $8.32 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $7.08 | Professional | None | $2.82 | $4.79 | $7.08 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $7.41 | Professional | None | $2.82 | $4.79 | $7.41 |
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 $2.04 Median $2.04 Typical High $2.75 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $1.10 | Professional | 53 · Discontinued | $0.81 | $0.81 | $1.10 |
Where Missouri sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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· 18th of 51
$5.75
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.