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 $14.79 Median $20.89 Typical High $30.90 | Facility | None | $14.79 | $20.89 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $19.95 | Professional | None | $12.59 | $14.79 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $79.43 | Facility | None | $17.38 | $17.38 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $22.39 Typical High $33.88 | Professional | None | $6.92 | $22.39 | $33.88 |
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 $17.38 Median $38.02 Typical High $72.44 | Facility | None | $17.38 | $38.02 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $19.50 Typical High $27.54 | Professional | None | $7.59 | $19.50 | $27.54 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $30.20 Typical High $123.03 | Facility | None | $15.49 | $30.20 | $123.03 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $20.89 | Professional | None | $7.24 | $10.96 | $20.89 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $23.44 | Professional | None | $7.24 | $10.47 | $23.44 |
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 $7.41 Median $7.41 Typical High $10.00 | Professional | 52 · Reduced service | $7.41 | $7.41 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.98 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.98 |
Where Missouri sits
The same service costs 20.4 times more in Vermont than in Kentucky. 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· 21st of 51
$19.50
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.