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 $14.79 Median $23.44 Typical High $33.11 | Facility | None | $14.79 | $23.44 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $16.98 | Professional | None | $10.96 | $14.79 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $85.11 | Facility | None | $18.62 | $18.62 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $19.95 Typical High $28.84 | Professional | None | $6.03 | $19.95 | $28.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $16.22 Median $21.38 Typical High $40.74 | Facility | None | $16.22 | $21.38 | $40.74 |
BCBS Kansas City Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $35.48 | Professional | None | $12.88 | $14.45 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $39.81 Typical High $60.26 | Facility | None | $14.13 | $39.81 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $14.45 Typical High $38.90 | Professional | None | $6.46 | $14.45 | $38.90 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $85.11 | Facility | None | $16.22 | $26.92 | $85.11 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $91.20 Typical High $91.20 | Professional | None | $14.45 | $91.20 | $91.20 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $44.67 | Professional | None | $9.77 | $15.14 | $44.67 |
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 $7.08 Median $7.76 Typical High $10.00 | Professional | 52 · Reduced service | $7.08 | $7.76 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.98 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.98 |
Where Missouri sits
The same service costs 4.9 times more in Alaska 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· 25th of 51
$19.95
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.