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 $4.90 Median $7.08 Typical High $11.22 | Facility | None | $4.90 | $7.08 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.01 Typical High $6.76 | Professional | None | $4.79 | $5.01 | $6.76 |
Ambetter Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $6.76 | Professional | None | $2.82 | $2.82 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $26.30 | Facility | None | $5.62 | $5.62 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $8.91 Typical High $14.45 | Professional | None | $2.82 | $8.91 | $14.45 |
BCBS Kansas City Setting Facility Modifier None Typical Low $8.51 Median $11.22 Typical High $21.38 | Facility | None | $8.51 | $11.22 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $12.59 Typical High $33.11 | Facility | None | $7.41 | $12.59 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.61 Typical High $11.75 | Professional | None | $3.31 | $6.61 | $11.75 |
Medica Setting Facility Modifier None Typical Low $5.13 Median $14.45 Typical High $60.26 | Facility | None | $5.13 | $14.45 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $7.08 | Professional | None | $2.51 | $4.07 | $7.08 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.17 Typical High $7.59 | Professional | None | $2.40 | $4.17 | $7.59 |
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 $2.40 Median $2.45 Typical High $3.24 | Professional | 52 · Reduced service | $2.40 | $2.45 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.98 Typical High $1.29 | Professional | 53 · Discontinued | $0.95 | $0.98 | $1.29 |
Where Missouri sits
The same service costs 13.5 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
$6.76
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.