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 $16.60 Median $25.12 Typical High $36.31 | Facility | None | $16.60 | $25.12 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $22.39 | Professional | None | $16.60 | $17.78 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $91.20 | Facility | None | $19.50 | $19.50 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $19.05 Typical High $35.48 | Professional | None | $9.77 | $19.05 | $35.48 |
BCBS Setting Facility Modifier None Typical Low $30.20 Median $39.81 Typical High $74.13 | Facility | None | $30.20 | $39.81 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $43.65 Typical High $112.20 | Facility | None | $25.70 | $43.65 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $22.39 Typical High $41.69 | Professional | None | $11.48 | $22.39 | $41.69 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $33.88 Typical High $100.00 | Facility | None | $17.78 | $33.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $23.99 | Professional | None | $8.91 | $14.13 | $23.99 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.45 Typical High $26.30 | Professional | None | $8.32 | $14.45 | $26.30 |
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 $8.32 Median $8.51 Typical High $11.22 | Professional | 52 · Reduced service | $8.32 | $8.51 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.39 Typical High $4.47 | Professional | 53 · Discontinued | $3.31 | $3.39 | $4.47 |
Where Missouri sits
The same service costs 3.0 times more in Alaska 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· 26th of 51
$19.05
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.