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 $8.91 Median $12.59 Typical High $19.05 | Facility | None | $8.91 | $12.59 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $12.30 | Professional | None | $8.71 | $9.12 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $5.01 Typical High $5.89 | Professional | None | $4.79 | $5.01 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $47.86 | Facility | None | $10.23 | $10.23 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $14.45 Typical High $23.99 | Professional | None | $5.13 | $14.45 | $23.99 |
BCBS Kansas City Setting Facility Modifier None Typical Low $15.85 Median $20.42 Typical High $38.90 | Facility | None | $15.85 | $20.42 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $58.88 | Facility | None | $13.80 | $22.91 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $11.75 Typical High $21.88 | Professional | None | $5.89 | $11.75 | $21.88 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $17.78 Typical High $60.26 | Facility | None | $9.33 | $17.78 | $60.26 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $12.88 | Professional | None | $5.01 | $7.41 | $12.88 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.59 Typical High $13.80 | Professional | None | $4.37 | $7.59 | $13.80 |
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 $4.37 Median $4.47 Typical High $5.89 | Professional | 52 · Reduced service | $4.37 | $4.47 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.40 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.40 |
Where Missouri sits
The same service costs 12.6 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
$12.30
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.