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 $4.47 Median $6.46 Typical High $9.55 | Facility | None | $4.47 | $6.46 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.57 Typical High $6.61 | Professional | None | $4.37 | $4.57 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $2.95 Typical High $8.32 | Professional | None | $2.51 | $2.95 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $23.99 | Facility | None | $5.13 | $5.13 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $8.13 Typical High $13.18 | Professional | None | $2.57 | $8.13 | $13.18 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5.25 Median $6.92 Typical High $13.18 | Facility | None | $5.25 | $6.92 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $11.48 Typical High $30.20 | Facility | None | $6.76 | $11.48 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $5.89 Typical High $10.96 | Professional | None | $3.02 | $5.89 | $10.96 |
Medica Setting Facility Modifier None Typical Low $4.68 Median $12.59 Typical High $100.00 | Facility | None | $4.68 | $12.59 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.34 Median $3.72 Typical High $6.46 | Professional | None | $2.34 | $3.72 | $6.46 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.80 Typical High $6.92 | Professional | None | $2.19 | $3.80 | $6.92 |
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 $2.19 Median $2.24 Typical High $2.95 | Professional | 52 · Reduced service | $2.19 | $2.24 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.89 Typical High $1.20 | Professional | 53 · Discontinued | $0.87 | $0.89 | $1.20 |
Where Missouri sits
The same service costs 17.8 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· 19th of 51
$6.17
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.