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 $6.76 Median $10.96 Typical High $14.45 | Facility | None | $6.76 | $10.96 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.24 Typical High $7.59 | Professional | None | $6.76 | $7.24 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $36.31 | Facility | None | $7.94 | $7.94 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $11.75 Typical High $19.95 | Professional | None | $3.89 | $11.75 | $19.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5.89 Median $7.59 Typical High $16.60 | Facility | None | $5.89 | $7.59 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $17.38 Typical High $44.67 | Facility | None | $10.47 | $17.38 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $8.91 Typical High $16.60 | Professional | None | $4.57 | $8.91 | $16.60 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $15.49 Typical High $100.00 | Facility | None | $7.08 | $15.49 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $5.62 Typical High $10.00 | Professional | None | $3.39 | $5.62 | $10.00 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $3.31 Median $5.89 Typical High $10.23 | Professional | None | $3.31 | $5.89 | $10.23 |
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 $3.39 Median $3.39 Typical High $4.57 | Professional | 52 · Reduced service | $3.39 | $3.39 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.82 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.82 |
Where Missouri sits
The same service costs 4.1 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· 15th of 51
$9.12
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.