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 $40.74 Median $57.54 Typical High $85.11 | Facility | None | $40.74 | $57.54 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $57.54 | Professional | None | $38.02 | $40.74 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | None | $23.44 | $23.44 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $218.78 | Facility | None | $47.86 | $47.86 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $70.79 Typical High $120.23 | Professional | None | $23.44 | $70.79 | $120.23 |
BCBS Kansas City Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $177.83 | Facility | None | $72.44 | $95.50 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $104.71 Typical High $323.59 | Facility | None | $61.66 | $104.71 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $53.70 Typical High $95.50 | Professional | None | $28.84 | $53.70 | $95.50 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $83.18 Typical High $257.04 | Facility | None | $42.66 | $83.18 | $257.04 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $57.54 | Professional | None | $21.38 | $33.88 | $57.54 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $19.95 Median $35.48 Typical High $64.57 | Professional | None | $19.95 | $35.48 | $64.57 |
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 $20.42 Median $20.42 Typical High $27.54 | Professional | 52 · Reduced service | $20.42 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $10.96 | Professional | 53 · Discontinued | $8.13 | $8.13 | $10.96 |
Where Missouri sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 14th of 51
$57.54
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.