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 $11.22 Median $15.49 Typical High $27.54 | Facility | None | $11.22 | $15.49 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $15.49 | Professional | None | $10.96 | $11.75 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $60.26 | Facility | None | $12.88 | $12.88 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $18.62 Typical High $33.11 | Professional | None | $6.46 | $18.62 | $33.11 |
BCBS Kansas City Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $48.98 | Facility | None | $19.50 | $25.70 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $28.84 Typical High $72.44 | Facility | None | $17.38 | $28.84 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $14.79 Typical High $27.54 | Professional | None | $7.41 | $14.79 | $27.54 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $22.39 Typical High $70.79 | Facility | None | $11.75 | $22.39 | $70.79 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $9.12 Typical High $15.85 | Professional | None | $5.89 | $9.12 | $15.85 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $5.50 Median $9.55 Typical High $17.38 | Professional | None | $5.50 | $9.55 | $17.38 |
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 $5.50 Median $5.62 Typical High $7.41 | Professional | 52 · Reduced service | $5.50 | $5.62 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.24 Typical High $2.95 | Professional | 53 · Discontinued | $2.19 | $2.24 | $2.95 |
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· 16th of 51
$15.49
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.