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 $11.48 Median $17.38 Typical High $25.12 | Facility | None | $11.48 | $17.38 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $14.45 | Professional | None | $11.48 | $11.75 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $63.10 | Facility | None | $13.49 | $13.49 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $17.78 Typical High $24.55 | Professional | None | $5.89 | $17.78 | $24.55 |
BCBS Kansas City Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $45.71 | Facility | None | $18.62 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $30.20 Typical High $69.18 | Facility | None | $15.85 | $30.20 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $15.49 Typical High $25.12 | Professional | None | $6.92 | $15.49 | $25.12 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $23.44 Typical High $79.43 | Facility | None | $12.30 | $23.44 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $16.22 | Professional | None | $5.89 | $9.77 | $16.22 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $18.20 | Professional | None | $5.75 | $8.91 | $18.20 |
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 $5.75 Median $5.89 Typical High $7.76 | Professional | 52 · Reduced service | $5.75 | $5.89 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.34 Typical High $3.16 | Professional | 53 · Discontinued | $2.29 | $2.34 | $3.16 |
Where Missouri sits
The same service costs 4.6 times more in Vermont than in New Jersey. 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· 14th of 51
$15.49
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.