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 $5.50 Median $8.13 Typical High $12.02 | Facility | None | $5.50 | $8.13 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $7.41 | Professional | None | $5.50 | $5.89 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $2.75 Median $3.24 Typical High $7.76 | Professional | None | $2.75 | $3.24 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $30.20 | Facility | None | $6.46 | $6.46 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $10.23 Typical High $16.22 | Professional | None | $3.16 | $10.23 | $16.22 |
BCBS Kansas City Setting Facility Modifier None Typical Low $9.77 Median $12.88 Typical High $24.55 | Facility | None | $9.77 | $12.88 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $14.13 Typical High $37.15 | Facility | None | $8.71 | $14.13 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $7.41 Typical High $13.80 | Professional | None | $3.80 | $7.41 | $13.80 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $11.48 Typical High $100.00 | Facility | None | $5.75 | $11.48 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.88 Median $4.57 Typical High $8.13 | Professional | None | $2.88 | $4.57 | $8.13 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $2.69 Median $4.79 Typical High $8.71 | Professional | None | $2.69 | $4.79 | $8.71 |
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 $2.75 Median $2.75 Typical High $3.72 | Professional | 52 · Reduced service | $2.75 | $2.75 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.12 Typical High $1.48 | Professional | 53 · Discontinued | $1.10 | $1.12 | $1.48 |
Where Missouri sits
The same service costs 3.7 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· 12th of 51
$7.76
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.