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 $5.13 Median $7.24 Typical High $16.22 | Facility | None | $5.13 | $7.24 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $7.76 | Professional | None | $5.13 | $5.25 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $9.77 Typical High $9.77 | Professional | None | $7.24 | $9.77 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $27.54 | Facility | None | $6.03 | $6.03 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $9.55 Typical High $15.14 | Professional | None | $2.95 | $9.55 | $15.14 |
BCBS Kansas City Setting Facility Modifier None Typical Low $9.12 Median $12.02 Typical High $22.91 | Facility | None | $9.12 | $12.02 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $34.67 | Facility | None | $7.94 | $13.18 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $6.92 Typical High $12.88 | Professional | None | $3.47 | $6.92 | $12.88 |
Medica Setting Facility Modifier None Typical Low $6.03 Median $16.22 Typical High $100.00 | Facility | None | $6.03 | $16.22 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.88 Median $4.27 Typical High $7.76 | Professional | None | $2.88 | $4.27 | $7.76 |
United Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
United Setting Professional Modifier None Typical Low $2.51 Median $4.47 Typical High $8.13 | Professional | None | $2.51 | $4.47 | $8.13 |
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 $2.57 Median $2.57 Typical High $3.47 | Professional | 52 · Reduced service | $2.57 | $2.57 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.38 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.38 |
Where Missouri sits
The same service costs 14.5 times more in Minnesota 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· 20th of 51
$7.24
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.