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 $3.63 Median $5.50 Typical High $9.77 | Facility | None | $3.63 | $5.50 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.89 Typical High $5.50 | Professional | None | $3.63 | $3.89 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $19.50 | Facility | None | $4.27 | $4.27 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $5.89 Typical High $10.72 | Professional | None | $2.09 | $5.89 | $10.72 |
BCBS Kansas City Setting Facility Modifier None Typical Low $6.46 Median $8.51 Typical High $16.22 | Facility | None | $6.46 | $8.51 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $9.33 Typical High $23.99 | Facility | None | $5.75 | $9.33 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $4.79 Typical High $8.71 | Professional | None | $2.45 | $4.79 | $8.71 |
Medica Setting Facility Modifier None Typical Low $3.80 Median $7.41 Typical High $100.00 | Facility | None | $3.80 | $7.41 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $6.31 | Professional | None | $2.57 | $4.27 | $6.31 |
United Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $6.61 | Professional | None | $2.57 | $4.27 | $6.61 |
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 $1.82 Median $1.82 Typical High $2.45 | Professional | 52 · Reduced service | $1.82 | $1.82 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $0.98 | Professional | 53 · Discontinued | $0.72 | $0.72 | $0.98 |
Where Missouri sits
The same service costs 3.2 times more in Kansas 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· 18th of 51
$5.13
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.