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 $15.14 Median $21.38 Typical High $33.11 | Facility | None | $15.14 | $21.38 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.49 Typical High $20.42 | Professional | None | $15.14 | $15.49 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $83.18 | Facility | None | $17.78 | $17.78 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $22.91 Typical High $35.48 | Professional | None | $8.32 | $22.91 | $35.48 |
BCBS Setting Facility Modifier None Typical Low $25.70 Median $33.88 Typical High $63.10 | Facility | None | $25.70 | $33.88 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $39.81 Typical High $95.50 | Facility | None | $22.39 | $39.81 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $20.42 Typical High $35.48 | Professional | None | $9.77 | $20.42 | $35.48 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $35.48 Typical High $112.20 | Facility | None | $16.22 | $35.48 | $112.20 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $12.88 Typical High $21.38 | Professional | None | $8.13 | $12.88 | $21.38 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $23.99 | Professional | None | $7.59 | $12.59 | $23.99 |
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 $7.59 Median $7.76 Typical High $10.23 | Professional | 52 · Reduced service | $7.59 | $7.76 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.09 Typical High $4.07 | Professional | 53 · Discontinued | $3.02 | $3.09 | $4.07 |
Where Missouri sits
The same service costs 10.2 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
$20.89
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.