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 $7.76 Median $12.59 Typical High $16.98 | Facility | None | $7.76 | $12.59 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $8.91 | Professional | None | $7.76 | $8.32 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $42.66 | Facility | None | $9.12 | $9.12 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $13.80 Typical High $23.44 | Professional | None | $4.57 | $13.80 | $23.44 |
BCBS Kansas City Setting Facility Modifier None Typical Low $14.13 Median $18.20 Typical High $34.67 | Facility | None | $14.13 | $18.20 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $20.42 Typical High $52.48 | Facility | None | $12.02 | $20.42 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $10.72 Typical High $19.50 | Professional | None | $5.37 | $10.72 | $19.50 |
Medica Setting Facility Modifier None Typical Low $8.32 Median $19.50 Typical High $100.00 | Facility | None | $8.32 | $19.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $6.61 Typical High $12.02 | Professional | None | $4.17 | $6.61 | $12.02 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.76 Typical High $12.30 | Professional | None | $3.89 | $6.76 | $12.30 |
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 $3.89 Median $3.98 Typical High $5.25 | Professional | 52 · Reduced service | $3.89 | $3.98 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $2.14 | Professional | 53 · Discontinued | $1.58 | $1.58 | $2.14 |
Where Missouri sits
The same service costs 3.6 times more in Kansas than in Maryland. 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
$10.96
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.