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 $13.49 Median $21.88 Typical High $29.51 | Facility | None | $13.49 | $21.88 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $18.20 | Professional | None | $13.49 | $13.80 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $74.13 | Facility | None | $15.85 | $15.85 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $25.12 Typical High $38.90 | Professional | None | $7.41 | $25.12 | $38.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $33.11 | Facility | None | $13.49 | $17.38 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $34.67 Typical High $85.11 | Facility | None | $19.95 | $34.67 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $18.20 Typical High $31.62 | Professional | None | $8.71 | $18.20 | $31.62 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $27.54 Typical High $100.00 | Facility | None | $14.45 | $27.54 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $11.22 Typical High $20.42 | Professional | None | $7.08 | $11.22 | $20.42 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.96 Typical High $20.89 | Professional | None | $6.61 | $10.96 | $20.89 |
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 $6.76 Median $6.92 Typical High $9.12 | Professional | 52 · Reduced service | $6.76 | $6.92 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.75 Typical High $3.63 | Professional | 53 · Discontinued | $2.69 | $2.75 | $3.63 |
Where Missouri sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 12th of 51
$18.62
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.