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 $8.71 Median $13.80 Typical High $25.70 | Facility | None | $8.71 | $13.80 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $13.80 | Professional | None | $10.23 | $12.02 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $64.57 | Facility | None | $14.13 | $14.13 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $10.00 Typical High $25.12 | Professional | None | $5.62 | $10.00 | $25.12 |
BCBS Kansas City Setting Facility Modifier None Typical Low $9.12 Median $11.75 Typical High $22.39 | Facility | None | $9.12 | $11.75 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $30.90 Typical High $38.02 | Facility | None | $7.94 | $30.90 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $12.88 Typical High $19.05 | Professional | None | $3.89 | $12.88 | $19.05 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $16.98 Typical High $100.00 | Facility | None | $8.91 | $16.98 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $8.51 Typical High $16.98 | Professional | None | $5.13 | $8.51 | $16.98 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.51 Typical High $18.62 | Professional | None | $5.13 | $8.51 | $18.62 |
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 $6.03 Median $6.03 Typical High $8.13 | Professional | 52 · Reduced service | $6.03 | $6.03 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $3.24 | Professional | 53 · Discontinued | $2.40 | $2.40 | $3.24 |
Where Missouri sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 34th of 51
$10.00
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.