How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.32 Median $0.34 Typical High $0.34 | Facility | None | $0.32 | $0.34 | $0.34 |
Aetna Setting Professional Modifier None Typical Low $0.31 Median $0.32 Typical High $0.39 | Professional | None | $0.31 | $0.32 | $0.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.65 Median $0.85 Typical High $0.85 | Professional | None | $0.65 | $0.85 | $0.85 |
Cigna Setting Facility Modifier None Typical Low $0.85 Median $1.23 Typical High $1.41 | Facility | None | $0.85 | $1.23 | $1.41 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Medica Setting Facility Modifier None Typical Low $0.33 Median $0.85 Typical High $0.93 | Facility | None | $0.33 | $0.85 | $0.93 |
Medica Setting Professional Modifier None Typical Low $0.78 Median $0.85 Typical High $0.91 | Professional | None | $0.78 | $0.85 | $0.91 |
United Setting Professional Modifier None Typical Low $0.69 Median $0.85 Typical High $0.98 | Professional | None | $0.69 | $0.85 | $0.98 |
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 $0.16 Median $0.16 Typical High $0.20 | Professional | 52 · Reduced service | $0.16 | $0.16 | $0.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.08 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.08 |
Where Missouri sits
The same service costs 1.6 times more in Massachusetts than in Colorado. 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· 5th of 51
$0.85
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.