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 $7.59 Median $10.96 Typical High $16.22 | Facility | None | $7.59 | $10.96 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $10.47 | Professional | None | $7.41 | $7.76 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $4.27 Typical High $5.01 | Professional | None | $3.89 | $4.27 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $40.74 | Facility | None | $8.71 | $8.71 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $13.18 Typical High $21.88 | Professional | None | $4.37 | $13.18 | $21.88 |
BCBS Setting Facility Modifier None Typical Low $13.18 Median $17.38 Typical High $33.11 | Facility | None | $13.18 | $17.38 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $19.05 Typical High $48.98 | Facility | None | $11.48 | $19.05 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $18.62 | Professional | None | $5.01 | $10.00 | $18.62 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $15.14 Typical High $100.00 | Facility | None | $7.94 | $15.14 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.89 Median $6.17 Typical High $10.72 | Professional | None | $3.89 | $6.17 | $10.72 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.46 Typical High $11.75 | Professional | None | $3.63 | $6.46 | $11.75 |
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 $3.72 Median $3.80 Typical High $5.01 | Professional | 52 · Reduced service | $3.72 | $3.80 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.51 Typical High $2.00 | Professional | 53 · Discontinued | $1.48 | $1.51 | $2.00 |
Where Missouri sits
The same service costs 7.6 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· 15th of 51
$10.47
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.