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 $10.96 Median $15.49 Typical High $22.91 | Facility | None | $10.96 | $15.49 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $15.49 | Professional | None | $10.96 | $11.22 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | None | $12.88 | $12.88 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $58.88 | Facility | None | $12.88 | $12.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $20.42 Typical High $32.36 | Professional | None | $6.31 | $20.42 | $32.36 |
BCBS Kansas City Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $48.98 | Facility | None | $19.50 | $25.70 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $28.18 Typical High $72.44 | Facility | None | $16.98 | $28.18 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $14.79 Typical High $27.54 | Professional | None | $7.41 | $14.79 | $27.54 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $22.39 Typical High $100.00 | Facility | None | $11.48 | $22.39 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $19.05 | Professional | None | $7.76 | $12.88 | $19.05 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $19.95 | Professional | None | $7.76 | $12.88 | $19.95 |
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 $5.50 Median $5.50 Typical High $7.41 | Professional | 52 · Reduced service | $5.50 | $5.50 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.95 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.95 |
Where Missouri sits
The same service costs 4.3 times more in Minnesota 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
$15.49
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.