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 $4.68 Median $5.89 Typical High $10.00 | Facility | None | $4.68 | $5.89 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $6.17 | Professional | None | $4.57 | $4.90 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $25.12 | Facility | None | $5.37 | $5.37 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $7.41 Typical High $13.49 | Professional | None | $2.63 | $7.41 | $13.49 |
BCBS Kansas City Setting Facility Modifier None Typical Low $8.32 Median $10.72 Typical High $20.42 | Facility | None | $8.32 | $10.72 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $11.75 Typical High $31.62 | Facility | None | $7.08 | $11.75 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $6.31 Typical High $11.48 | Professional | None | $3.02 | $6.31 | $11.48 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $13.49 Typical High $60.26 | Facility | None | $4.90 | $13.49 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.57 Median $3.80 Typical High $6.61 | Professional | None | $2.57 | $3.80 | $6.61 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $194.98 | Facility | None | $186.21 | $186.21 | $194.98 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.98 Typical High $7.24 | Professional | None | $2.24 | $3.98 | $7.24 |
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 $2.29 Median $2.29 Typical High $3.09 | Professional | 52 · Reduced service | $2.29 | $2.29 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.93 Typical High $1.23 | Professional | 53 · Discontinued | $0.91 | $0.93 | $1.23 |
Where Missouri sits
The same service costs 11.2 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· 20th of 51
$6.46
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.