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 $8.71 Median $12.88 Typical High $21.88 | Facility | None | $8.71 | $12.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.91 Typical High $12.02 | Professional | None | $8.71 | $8.91 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $46.77 | Facility | None | $10.23 | $10.23 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $15.14 Typical High $25.70 | Professional | None | $5.01 | $15.14 | $25.70 |
BCBS Kansas City Setting Facility Modifier None Typical Low $15.49 Median $20.42 Typical High $38.02 | Facility | None | $15.49 | $20.42 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $58.88 | Facility | None | $13.49 | $22.39 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $11.48 Typical High $21.88 | Professional | None | $5.89 | $11.48 | $21.88 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $39.81 Typical High $123.03 | Facility | None | $9.12 | $39.81 | $123.03 |
Medica Setting Professional Modifier None Typical Low $4.57 Median $7.24 Typical High $12.88 | Professional | None | $4.57 | $7.24 | $12.88 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
United Setting Professional Modifier None Typical Low $4.27 Median $7.59 Typical High $13.80 | Professional | None | $4.27 | $7.59 | $13.80 |
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 $4.37 Median $4.37 Typical High $5.89 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.34 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.34 |
Where Missouri sits
The same service costs 26.9 times more in Vermont than in Alabama. 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· 18th of 51
$12.30
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.