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 $8.32 Median $12.88 Typical High $17.78 | Facility | None | $8.32 | $12.88 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $11.22 | Professional | None | $8.32 | $8.32 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $44.67 | Facility | None | $9.77 | $9.77 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $9.77 Typical High $12.30 | Professional | None | $3.89 | $9.77 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $21.38 Typical High $40.74 | Facility | None | $9.55 | $21.38 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $16.60 Typical High $85.11 | Facility | None | $8.71 | $16.60 | $85.11 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $12.88 | Professional | None | $5.89 | $8.91 | $12.88 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $15.14 | Professional | None | $5.89 | $8.91 | $15.14 |
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 $4.17 Median $4.17 Typical High $5.62 | Professional | 52 · Reduced service | $4.17 | $4.17 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.70 Typical High $2.24 | Professional | 53 · Discontinued | $1.66 | $1.70 | $2.24 |
Where Missouri sits
The same service costs 2.3 times more in Alaska 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· 21st of 51
$9.77
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.