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 $7.59 Median $10.72 Typical High $16.22 | Facility | None | $7.59 | $10.72 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $10.23 | Professional | None | $7.59 | $8.13 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $40.74 | Facility | None | $8.91 | $8.91 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $14.13 Typical High $22.39 | Professional | None | $4.37 | $14.13 | $22.39 |
BCBS Kansas City Setting Facility Modifier None Typical Low $13.49 Median $17.78 Typical High $33.88 | Facility | None | $13.49 | $17.78 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $51.29 | Facility | None | $11.75 | $19.50 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $10.23 Typical High $18.62 | Professional | None | $5.13 | $10.23 | $18.62 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $19.50 Typical High $100.00 | Facility | None | $7.94 | $19.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $6.31 Typical High $11.22 | Professional | None | $3.98 | $6.31 | $11.22 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.61 Typical High $12.02 | Professional | None | $3.72 | $6.61 | $12.02 |
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 $3.80 Median $3.80 Typical High $5.13 | Professional | 52 · Reduced service | $3.80 | $3.80 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $2.04 | Professional | 53 · Discontinued | $1.51 | $1.51 | $2.04 |
Where Missouri sits
The same service costs 8.7 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
$10.72
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.