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 $10.47 Median $15.14 Typical High $22.39 | Facility | None | $10.47 | $15.14 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.72 Typical High $15.49 | Professional | None | $10.23 | $10.72 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $14.45 | Professional | None | $5.89 | $5.89 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $56.23 | Facility | None | $12.02 | $12.02 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $19.05 Typical High $30.90 | Professional | None | $6.03 | $19.05 | $30.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $45.71 | Facility | None | $18.20 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $26.92 Typical High $69.18 | Facility | None | $15.85 | $26.92 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $13.49 Typical High $25.70 | Professional | None | $7.08 | $13.49 | $25.70 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $25.12 Typical High $100.00 | Facility | None | $10.96 | $25.12 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $15.14 | Professional | None | $5.75 | $8.71 | $15.14 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.91 Typical High $16.22 | Professional | None | $5.13 | $8.91 | $16.22 |
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 $5.13 Median $5.25 Typical High $6.92 | Professional | 52 · Reduced service | $5.13 | $5.25 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $2.75 | Professional | 53 · Discontinued | $2.04 | $2.09 | $2.75 |
Where Missouri sits
The same service costs 8.3 times more in Vermont 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· 15th of 51
$14.45
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.