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 $0.02 Median $0.02 Typical High $0.17 | Facility | None | $0.02 | $0.02 | $0.17 |
Aetna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.11 | Professional | None | $0.02 | $0.02 | $0.11 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.05 | Facility | None | $0.02 | $0.03 | $0.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.02 Median $0.14 Typical High $0.14 | Professional | None | $0.02 | $0.14 | $0.14 |
BCBS Kansas City Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Cigna Setting Facility Modifier None Typical Low $0.02 Median $0.04 Typical High $0.05 | Facility | None | $0.02 | $0.04 | $0.05 |
Cigna Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Medica Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $1.05 | Facility | None | $0.02 | $0.03 | $1.05 |
Medica Setting Professional Modifier None Typical Low $0.02 Median $4.17 Typical High $4.90 | Professional | None | $0.02 | $4.17 | $4.90 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
3 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 $0.07 Median $0.07 Typical High $0.08 | Professional | 52 · Reduced service | $0.07 | $0.07 | $0.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.03 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.03 |
Where Missouri sits
The same service costs 6.0 times more in Wyoming than in Massachusetts. 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· 50th of 51
$0.02
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.