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 $12.59 Median $20.42 Typical High $34.67 | Facility | None | $12.59 | $20.42 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $18.20 | Professional | None | $12.30 | $16.22 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $87.10 | Facility | None | $18.62 | $18.62 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $14.13 Typical High $33.88 | Professional | None | $7.59 | $14.13 | $33.88 |
BCBS Kansas City Setting Facility Modifier None Typical Low $14.79 Median $26.30 Typical High $50.12 | Facility | None | $14.79 | $26.30 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $41.69 Typical High $75.86 | Facility | None | $17.38 | $41.69 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $21.38 Typical High $28.84 | Professional | None | $7.94 | $21.38 | $28.84 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $28.18 Typical High $100.00 | Facility | None | $16.22 | $28.18 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $22.39 | Professional | None | $7.94 | $11.22 | $22.39 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $25.12 | Professional | None | $7.94 | $11.22 | $25.12 |
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 $7.94 Median $8.13 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $8.13 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $4.37 | Professional | 53 · Discontinued | $3.16 | $3.24 | $4.37 |
Where Missouri sits
The same service costs 3.6 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· 44th of 51
$14.13
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.