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 $15.85 Median $22.39 Typical High $33.88 | Facility | None | $15.85 | $22.39 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $22.39 | Professional | None | $15.85 | $16.98 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $19.05 | Professional | None | $9.33 | $9.33 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $85.11 | Facility | None | $18.62 | $18.62 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $29.51 Typical High $46.77 | Professional | None | $9.12 | $29.51 | $46.77 |
BCBS Kansas City Setting Facility Modifier None Typical Low $28.18 Median $37.15 Typical High $70.79 | Facility | None | $28.18 | $37.15 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $40.74 Typical High $107.15 | Facility | None | $24.55 | $40.74 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $20.89 Typical High $38.90 | Professional | None | $10.72 | $20.89 | $38.90 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $32.36 Typical High $100.00 | Facility | None | $16.98 | $32.36 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $23.44 | Professional | None | $8.91 | $13.18 | $23.44 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.80 Typical High $25.12 | Professional | None | $7.76 | $13.80 | $25.12 |
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 $7.94 Median $7.94 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.24 | $4.27 |
Where Missouri sits
The same service costs 6.8 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· 18th of 51
$22.39
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.