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 $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $9.55 | Professional | None | $6.76 | $8.91 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $52.48 | Facility | None | $11.22 | $11.22 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $3.80 Typical High $7.94 | Professional | None | $2.00 | $3.80 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $13.80 Typical High $89.13 | Facility | None | $3.47 | $13.80 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Medica Setting Facility Modifier None Typical Low $5.01 Median $14.45 Typical High $75.86 | Facility | None | $5.01 | $14.45 | $75.86 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $13.18 | Professional | None | $2.09 | $3.02 | $13.18 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
United Setting Professional Modifier None Typical Low $2.09 Median $5.13 Typical High $13.80 | Professional | None | $2.09 | $5.13 | $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 $4.47 Median $4.79 Typical High $5.89 | Professional | 52 · Reduced service | $4.47 | $4.79 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.91 Typical High $2.34 | Professional | 53 · Discontinued | $1.82 | $1.91 | $2.34 |
Where Missouri sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 35th of 51
$5.01
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.