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 $6.17 Median $8.71 Typical High $12.88 | Facility | None | $6.17 | $8.71 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.61 Typical High $8.51 | Professional | None | $6.17 | $6.61 | $8.51 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $33.11 | Facility | None | $7.24 | $7.24 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $11.22 Typical High $18.20 | Professional | None | $3.55 | $11.22 | $18.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $10.96 Median $14.45 Typical High $26.92 | Facility | None | $10.96 | $14.45 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $15.85 Typical High $41.69 | Facility | None | $9.55 | $15.85 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $8.13 Typical High $15.49 | Professional | None | $4.07 | $8.13 | $15.49 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $12.59 Typical High $100.00 | Facility | None | $6.46 | $12.59 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $5.13 Typical High $8.71 | Professional | None | $3.24 | $5.13 | $8.71 |
United Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
United Setting Professional Modifier None Typical Low $3.02 Median $5.37 Typical High $9.77 | Professional | None | $3.02 | $5.37 | $9.77 |
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 $3.09 Median $3.09 Typical High $4.17 | Professional | 52 · Reduced service | $3.09 | $3.09 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.66 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.66 |
Where Missouri sits
The same service costs 5.8 times more in Vermont 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
$8.71
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.