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 $9.77 Median $14.45 Typical High $20.42 | Facility | None | $9.77 | $14.45 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.00 Typical High $12.02 | Professional | None | $9.77 | $10.00 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $52.48 | Facility | None | $11.48 | $11.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $15.85 Typical High $28.84 | Professional | None | $5.62 | $15.85 | $28.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.38 Median $22.91 Typical High $42.66 | Facility | None | $17.38 | $22.91 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $25.12 Typical High $66.07 | Facility | None | $15.14 | $25.12 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $12.88 Typical High $24.55 | Professional | None | $6.61 | $12.88 | $24.55 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $25.70 Typical High $100.00 | Facility | None | $10.23 | $25.70 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $8.13 Typical High $14.45 | Professional | None | $5.50 | $8.13 | $14.45 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $15.14 | Professional | None | $4.79 | $8.51 | $15.14 |
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 $4.79 Median $4.90 Typical High $6.61 | Professional | 52 · Reduced service | $4.79 | $4.90 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.63 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.63 |
Where Missouri sits
The same service costs 15.1 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· 15th of 51
$13.80
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.