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 $10.00 Median $13.80 Typical High $21.38 | Facility | None | $10.00 | $13.80 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.00 Typical High $12.30 | Professional | None | $9.77 | $10.00 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $53.70 | Facility | None | $11.48 | $11.48 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $7.94 Typical High $20.89 | Professional | None | $4.57 | $7.94 | $20.89 |
BCBS Kansas City Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $31.62 | Facility | None | $15.85 | $17.78 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $25.70 Typical High $93.33 | Facility | None | $15.85 | $25.70 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $13.80 | Professional | None | $5.01 | $5.50 | $13.80 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $20.42 Typical High $60.26 | Facility | None | $10.00 | $20.42 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $13.80 | Professional | None | $4.79 | $6.92 | $13.80 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $15.49 | Professional | None | $4.79 | $6.92 | $15.49 |
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 $4.90 Median $5.01 Typical High $6.61 | Professional | 52 · Reduced service | $4.90 | $5.01 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $2.63 | Professional | 53 · Discontinued | $1.95 | $2.00 | $2.63 |
Where Missouri sits
The same service costs 24.0 times more in Vermont than in New Jersey. 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· 34th of 51
$10.00
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.