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 $32.36 Median $42.66 Typical High $81.28 | Facility | None | $32.36 | $42.66 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $50.12 | Professional | None | $37.15 | $38.02 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $204.17 | Facility | None | $43.65 | $43.65 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $37.15 Typical High $79.43 | Professional | None | $17.78 | $37.15 | $79.43 |
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 $23.99 Median $97.72 Typical High $120.23 | Facility | None | $23.99 | $97.72 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $38.02 Typical High $63.10 | Professional | None | $11.75 | $38.02 | $63.10 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $52.48 Typical High $208.93 | Facility | None | $27.54 | $52.48 | $208.93 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $52.48 | Professional | None | $15.49 | $26.30 | $52.48 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $57.54 | Professional | None | $15.49 | $26.30 | $57.54 |
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 $18.62 Median $19.05 Typical High $25.12 | Professional | 52 · Reduced service | $18.62 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $10.23 | Professional | 53 · Discontinued | $7.41 | $7.59 | $10.23 |
Where Missouri sits
The same service costs 5.6 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· 23rd of 51
$37.15
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.