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 $17.38 Median $19.95 Typical High $43.65 | Facility | None | $17.38 | $19.95 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $19.50 Typical High $23.99 | Professional | None | $10.96 | $19.50 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $27.54 | Professional | None | $12.59 | $12.59 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $93.33 | Facility | None | $20.42 | $20.42 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $22.91 Typical High $46.77 | Professional | None | $11.48 | $22.91 | $46.77 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.02 Median $15.49 Typical High $31.62 | Facility | None | $12.02 | $15.49 | $31.62 |
BCBS Kansas City Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $38.90 | Professional | None | $14.13 | $20.42 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $45.71 Typical High $114.82 | Facility | None | $26.92 | $45.71 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $21.38 Typical High $52.48 | Professional | None | $9.77 | $21.38 | $52.48 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $97.72 | Facility | None | $20.42 | $33.11 | $97.72 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $165.96 Typical High $165.96 | Professional | None | $20.42 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $12.02 Median $20.89 Typical High $51.29 | Professional | None | $12.02 | $20.89 | $51.29 |
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 $8.71 Median $8.71 Typical High $11.75 | Professional | 52 · Reduced service | $8.71 | $8.71 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.68 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.68 |
Where Missouri sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 26th of 51
$27.54
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.