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 $2.57 Median $3.89 Typical High $8.13 | Facility | None | $2.57 | $3.89 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.75 Typical High $2.95 | Professional | None | $2.57 | $2.75 | $2.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $13.80 | Facility | None | $3.02 | $3.02 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $4.57 Typical High $7.59 | Professional | None | $1.48 | $4.57 | $7.59 |
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 $3.80 Median $6.61 Typical High $17.78 | Facility | None | $3.80 | $6.61 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $3.31 Typical High $6.17 | Professional | None | $1.66 | $3.31 | $6.17 |
Medica Setting Facility Modifier None Typical Low $2.69 Median $7.41 Typical High $100.00 | Facility | None | $2.69 | $7.41 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.45 Median $2.14 Typical High $3.80 | Professional | None | $1.45 | $2.14 | $3.80 |
United Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Facility | None | $2.69 | $2.69 | $2.69 |
United Setting Professional Modifier None Typical Low $1.26 Median $2.24 Typical High $4.07 | Professional | None | $1.26 | $2.24 | $4.07 |
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 $1.29 Median $1.29 Typical High $1.74 | Professional | 52 · Reduced service | $1.29 | $1.29 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.52 Typical High $0.69 | Professional | 53 · Discontinued | $0.51 | $0.52 | $0.69 |
Where Missouri sits
The same service costs 3.4 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· 14th of 51
$3.63
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.