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 $22.39 Median $33.88 Typical High $47.86 | Facility | None | $22.39 | $33.88 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $30.20 | Professional | None | $22.39 | $22.39 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $120.23 | Facility | None | $26.30 | $26.30 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $33.11 Typical High $61.66 | Professional | None | $11.75 | $33.11 | $61.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $36.31 Median $46.77 Typical High $89.13 | Facility | None | $36.31 | $46.77 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $57.54 Typical High $134.90 | Facility | None | $30.90 | $57.54 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $29.51 Typical High $50.12 | Professional | None | $13.80 | $29.51 | $50.12 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $125.89 | Facility | None | $23.44 | $45.71 | $125.89 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $18.62 Typical High $32.36 | Professional | None | $11.75 | $18.62 | $32.36 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $35.48 | Professional | None | $10.96 | $17.38 | $35.48 |
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 $11.22 Median $11.22 Typical High $15.14 | Professional | 52 · Reduced service | $11.22 | $11.22 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $6.03 | Professional | 53 · Discontinued | $4.47 | $4.47 | $6.03 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 16th of 51
$30.20
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.