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 $18.62 Median $26.30 Typical High $39.81 | Facility | None | $18.62 | $26.30 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.95 Typical High $25.70 | Professional | None | $18.62 | $19.95 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $22.39 | Professional | None | $10.96 | $10.96 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $100.00 | Facility | None | $21.88 | $21.88 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $32.36 Typical High $54.95 | Professional | None | $10.72 | $32.36 | $54.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $67.61 | Facility | None | $27.54 | $36.31 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $123.03 | Facility | None | $28.84 | $47.86 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $24.55 Typical High $45.71 | Professional | None | $12.59 | $24.55 | $45.71 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $38.02 Typical High $104.71 | Facility | None | $19.50 | $38.02 | $104.71 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $15.49 Typical High $27.54 | Professional | None | $9.77 | $15.49 | $27.54 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $9.12 Median $16.22 Typical High $29.51 | Professional | None | $9.12 | $16.22 | $29.51 |
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 $9.33 Median $9.33 Typical High $12.59 | Professional | 52 · Reduced service | $9.33 | $9.33 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $5.01 | Professional | 53 · Discontinued | $3.72 | $3.72 | $5.01 |
Where Missouri sits
The same service costs 4.8 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
$26.30
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.