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 $6.46 Median $9.55 Typical High $16.22 | Facility | None | $6.46 | $9.55 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.61 Typical High $10.72 | Professional | None | $6.46 | $6.61 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $3.72 Median $4.37 Typical High $9.12 | Professional | None | $3.72 | $4.37 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $34.67 | Facility | None | $7.59 | $7.59 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $12.30 Typical High $19.05 | Professional | None | $3.72 | $12.30 | $19.05 |
BCBS Kansas City Setting Facility Modifier None Typical Low $11.22 Median $14.79 Typical High $28.18 | Facility | None | $11.22 | $14.79 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $16.60 Typical High $43.65 | Facility | None | $10.00 | $16.60 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $8.51 Typical High $15.85 | Professional | None | $4.37 | $8.51 | $15.85 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $19.50 Typical High $100.00 | Facility | None | $6.76 | $19.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.63 Median $5.37 Typical High $9.77 | Professional | None | $3.63 | $5.37 | $9.77 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.62 Typical High $10.00 | Professional | None | $3.16 | $5.62 | $10.00 |
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 $3.24 Median $3.24 Typical High $4.37 | Professional | 52 · Reduced service | $3.24 | $3.24 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.74 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.74 |
Where Missouri sits
The same service costs 21.4 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· 19th of 51
$9.12
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.