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 $9.77 Median $14.45 Typical High $20.89 | Facility | None | $9.77 | $14.45 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.23 Typical High $13.49 | Professional | None | $9.55 | $10.23 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.46 | Professional | None | $5.50 | $5.50 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $52.48 | Facility | None | $11.22 | $11.22 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $15.49 Typical High $26.92 | Professional | None | $5.62 | $15.49 | $26.92 |
BCBS Kansas City Setting Facility Modifier None Typical Low $16.98 Median $22.39 Typical High $42.66 | Facility | None | $16.98 | $22.39 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $24.55 Typical High $64.57 | Facility | None | $15.14 | $24.55 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $23.99 | Professional | None | $6.46 | $12.88 | $23.99 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $19.50 Typical High $60.26 | Facility | None | $10.23 | $19.50 | $60.26 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $7.94 Typical High $14.45 | Professional | None | $5.13 | $7.94 | $14.45 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
United Setting Professional Modifier None Typical Low $4.68 Median $8.32 Typical High $15.14 | Professional | None | $4.68 | $8.32 | $15.14 |
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 $4.79 Median $4.79 Typical High $6.46 | Professional | 52 · Reduced service | $4.79 | $4.79 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.95 Typical High $2.57 | Professional | 53 · Discontinued | $1.91 | $1.95 | $2.57 |
Where Missouri sits
The same service costs 11.7 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
$13.49
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.