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 $10.72 Median $16.22 Typical High $22.91 | Facility | None | $10.72 | $16.22 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.96 Typical High $12.30 | Professional | None | $10.72 | $10.96 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $57.54 | Facility | None | $12.59 | $12.59 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $12.88 Typical High $22.39 | Professional | None | $6.17 | $12.88 | $22.39 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.59 Median $16.60 Typical High $31.62 | Facility | None | $12.59 | $16.60 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $27.54 Typical High $72.44 | Facility | None | $16.60 | $27.54 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $14.45 Typical High $26.92 | Professional | None | $7.24 | $14.45 | $26.92 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $21.88 Typical High $97.72 | Facility | None | $11.22 | $21.88 | $97.72 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $16.22 | Professional | None | $5.37 | $7.59 | $16.22 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $16.98 | Professional | None | $5.25 | $7.59 | $16.98 |
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 $5.37 Median $5.37 Typical High $7.24 | Professional | 52 · Reduced service | $5.37 | $5.37 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.88 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.88 |
Where Missouri sits
The same service costs 3.5 times more in South Carolina 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· 22nd of 51
$12.88
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.