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 $3.24 Median $4.79 Typical High $7.08 | Facility | None | $3.24 | $4.79 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.24 Typical High $4.47 | Professional | None | $3.16 | $3.24 | $4.47 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $4.57 | Professional | None | $3.89 | $3.89 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $17.38 | Facility | None | $3.80 | $3.80 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $5.13 Typical High $7.59 | Professional | None | $1.70 | $5.13 | $7.59 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5.25 Median $6.76 Typical High $12.88 | Facility | None | $5.25 | $6.76 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $8.32 Typical High $19.50 | Facility | None | $4.47 | $8.32 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $4.37 Typical High $7.24 | Professional | None | $2.00 | $4.37 | $7.24 |
Medica Setting Facility Modifier None Typical Low $3.39 Median $7.41 Typical High $100.00 | Facility | None | $3.39 | $7.41 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.70 Median $2.51 Typical High $4.79 | Professional | None | $1.70 | $2.51 | $4.79 |
United Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.40 Typical High $5.13 | Professional | None | $1.58 | $2.40 | $5.13 |
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 $1.62 Median $1.62 Typical High $2.19 | Professional | 52 · Reduced service | $1.62 | $1.62 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.87 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.87 |
Where Missouri sits
The same service costs 11.7 times more in Minnesota than in Kentucky. 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· 20th of 51
$4.37
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.