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 $17.78 Median $25.12 Typical High $37.15 | Facility | None | $17.78 | $25.12 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $26.92 | Professional | None | $17.78 | $18.20 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $21.38 | Professional | None | $10.47 | $10.47 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $95.50 | Facility | None | $20.89 | $20.89 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $30.90 Typical High $52.48 | Professional | None | $10.23 | $30.90 | $52.48 |
BCBS Kansas City Setting Facility Modifier None Typical Low $31.62 Median $41.69 Typical High $79.43 | Facility | None | $31.62 | $41.69 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $120.23 | Facility | None | $27.54 | $45.71 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $23.44 Typical High $44.67 | Professional | None | $12.02 | $23.44 | $44.67 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $36.31 Typical High $100.00 | Facility | None | $18.62 | $36.31 | $100.00 |
Medica Setting Professional Modifier None Typical Low $9.33 Median $14.79 Typical High $25.12 | Professional | None | $9.33 | $14.79 | $25.12 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $8.71 Median $15.49 Typical High $28.18 | Professional | None | $8.71 | $15.49 | $28.18 |
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 $8.91 Median $8.91 Typical High $12.02 | Professional | 52 · Reduced service | $8.91 | $8.91 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.63 Typical High $4.79 | Professional | 53 · Discontinued | $3.55 | $3.63 | $4.79 |
Where Missouri sits
The same service costs 7.9 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· 16th of 51
$25.12
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.