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 $4.17 Median $6.76 Typical High $9.12 | Facility | None | $4.17 | $6.76 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.27 Typical High $5.75 | Professional | None | $4.17 | $4.27 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $22.91 | Facility | None | $4.90 | $4.90 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $6.31 Typical High $7.94 | Professional | None | $2.45 | $6.31 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $10.96 Typical High $28.18 | Facility | None | $6.76 | $10.96 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $10.00 Typical High $75.86 | Facility | None | $4.90 | $10.00 | $75.86 |
Medica Setting Professional Modifier None Typical Low $2.24 Median $3.55 Typical High $6.17 | Professional | None | $2.24 | $3.55 | $6.17 |
United Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $6.61 | Professional | None | $2.09 | $3.63 | $6.61 |
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 $2.09 Median $2.14 Typical High $2.82 | Professional | 52 · Reduced service | $2.09 | $2.14 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.85 Typical High $1.12 | Professional | 53 · Discontinued | $0.83 | $0.85 | $1.12 |
Where Missouri sits
The same service costs 3.6 times more in Alaska than in New Mexico. 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· 17th of 51
$5.50
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.