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 $11.75 Median $17.78 Typical High $29.51 | Facility | None | $11.75 | $17.78 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $16.60 | Professional | None | $11.75 | $12.59 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $63.10 | Facility | None | $13.80 | $13.80 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $19.05 Typical High $34.67 | Professional | None | $6.76 | $19.05 | $34.67 |
BCBS Kansas City Setting Facility Modifier None Typical Low $20.89 Median $27.54 Typical High $51.29 | Facility | None | $20.89 | $27.54 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $30.20 Typical High $77.62 | Facility | None | $18.20 | $30.20 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $15.49 Typical High $28.84 | Professional | None | $7.94 | $15.49 | $28.84 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $24.55 Typical High $109.65 | Facility | None | $12.30 | $24.55 | $109.65 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $9.77 Typical High $17.38 | Professional | None | $6.17 | $9.77 | $17.38 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.23 Typical High $18.62 | Professional | None | $5.75 | $10.23 | $18.62 |
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 $5.89 Median $5.89 Typical High $7.94 | Professional | 52 · Reduced service | $5.89 | $5.89 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $3.16 | Professional | 53 · Discontinued | $2.34 | $2.34 | $3.16 |
Where Missouri sits
The same service costs 3.0 times more in Alaska 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
$16.60
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.