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 $12.30 Median $17.38 Typical High $26.30 | Facility | None | $12.30 | $17.38 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $18.20 | Professional | None | $12.02 | $12.59 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.92 Typical High $14.45 | Professional | None | $6.61 | $6.92 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $66.07 | Facility | None | $14.13 | $14.13 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $22.39 Typical High $36.31 | Professional | None | $7.08 | $22.39 | $36.31 |
BCBS Kansas City Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $53.70 | Facility | None | $21.88 | $28.18 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $31.62 Typical High $83.18 | Facility | None | $18.62 | $31.62 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $16.22 Typical High $30.20 | Professional | None | $8.13 | $16.22 | $30.20 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $32.36 Typical High $74.13 | Facility | None | $12.88 | $32.36 | $74.13 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $17.78 | Professional | None | $6.92 | $10.23 | $17.78 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
United Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $19.05 | Professional | None | $6.03 | $10.47 | $19.05 |
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 $6.03 Median $6.17 Typical High $8.13 | Professional | 52 · Reduced service | $6.03 | $6.17 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.31 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.31 |
Where Missouri sits
The same service costs 9.5 times more in Vermont than in Indiana. 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· 17th of 51
$16.98
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.