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 $11.22 Median $14.45 Typical High $24.55 | Facility | None | $11.22 | $14.45 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $12.88 | Professional | None | $9.77 | $11.48 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $61.66 | Facility | None | $13.18 | $13.18 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $10.96 Typical High $23.99 | Professional | None | $6.61 | $10.96 | $23.99 |
BCBS Kansas City Setting Facility Modifier None Typical Low $25.12 Median $26.30 Typical High $48.98 | Facility | None | $25.12 | $26.30 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $29.51 Typical High $75.86 | Facility | None | $12.59 | $29.51 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $15.14 Typical High $19.95 | Professional | None | $7.24 | $15.14 | $19.95 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $22.91 Typical High $63.10 | Facility | None | $12.02 | $22.91 | $63.10 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $16.60 | Professional | None | $6.03 | $9.33 | $16.60 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $5.62 Median $9.77 Typical High $17.78 | Professional | None | $5.62 | $9.77 | $17.78 |
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 $5.62 Median $5.75 Typical High $7.59 | Professional | 52 · Reduced service | $5.62 | $5.75 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.29 Typical High $3.02 | Professional | 53 · Discontinued | $2.24 | $2.29 | $3.02 |
Where Missouri sits
The same service costs 3.4 times more in Alaska than in Georgia. 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· 35th of 51
$11.22
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.