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 $3.39 Median $7.76 Typical High $30.90 | Facility | None | $3.39 | $7.76 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $30.90 | Professional | None | $3.39 | $3.39 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.39 Median $5.75 Typical High $52.48 | Facility | None | $3.39 | $5.75 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $24.55 Typical High $33.88 | Professional | None | $3.39 | $24.55 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $7.94 Typical High $9.77 | Facility | None | $4.27 | $7.94 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Medica Setting Facility Modifier None Typical Low $6.03 Median $21.88 Typical High $131.83 | Facility | None | $6.03 | $21.88 | $131.83 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $57.54 | Professional | None | $5.25 | $5.25 | $57.54 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $77.62 | Professional | None | $30.90 | $30.90 | $77.62 |
5 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 $1.70 Median $1.70 Typical High $15.14 | Professional | 52 · Reduced service | $1.70 | $1.70 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $6.17 | Professional | 53 · Discontinued | $0.68 | $0.68 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.50 Typical High $4.57 | Professional | 55 · Aftercare only | $0.50 | $0.50 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.34 Typical High $3.09 | Professional | 56 · Pre-op care only | $0.34 | $0.34 | $3.09 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | JZ · No drug discarded | $37.15 | $37.15 | $37.15 |
Where Missouri sits
The same service costs 9.1 times more in Rhode Island than in Florida. 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· 7th of 51
$24.55
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.