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 $2.04 Median $3.02 Typical High $4.37 | Facility | None | $2.04 | $3.02 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.29 Typical High $3.09 | Professional | None | $2.00 | $2.29 | $3.09 |
Ambetter Setting Professional Modifier None Typical Low $1.48 Median $2.82 Typical High $3.80 | Professional | None | $1.48 | $2.82 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $10.96 | Facility | None | $2.34 | $2.34 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.17 Median $3.89 Typical High $6.03 | Professional | None | $1.17 | $3.89 | $6.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $3.55 Median $4.68 Typical High $8.91 | Facility | None | $3.55 | $4.68 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $5.25 Typical High $13.49 | Facility | None | $3.16 | $5.25 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $2.57 Typical High $5.13 | Professional | None | $1.38 | $2.57 | $5.13 |
Medica Setting Facility Modifier None Typical Low $2.14 Median $5.50 Typical High $100.00 | Facility | None | $2.14 | $5.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $3.55 | Professional | None | $1.41 | $2.34 | $3.55 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $3.63 | Professional | None | $1.41 | $2.34 | $3.63 |
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 $1.00 Median $1.02 Typical High $1.38 | Professional | 52 · Reduced service | $1.00 | $1.02 | $1.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.41 Typical High $0.55 | Professional | 53 · Discontinued | $0.40 | $0.41 | $0.55 |
Where Missouri sits
The same service costs 16.6 times more in Minnesota than in Washington, DC. 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· 23rd of 51
$2.82
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.