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 $15.14 Median $22.91 Typical High $32.36 | Facility | None | $15.14 | $22.91 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | None | $15.14 | $15.14 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $81.28 | Facility | None | $17.78 | $17.78 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $21.38 Typical High $31.62 | Professional | None | $7.41 | $21.38 | $31.62 |
BCBS Setting Facility Modifier None Typical Low $22.91 Median $30.20 Typical High $56.23 | Facility | None | $22.91 | $30.20 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $38.90 Typical High $87.10 | Facility | None | $19.95 | $38.90 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $20.42 Typical High $32.36 | Professional | None | $8.91 | $20.42 | $32.36 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $30.90 Typical High $100.00 | Facility | None | $15.85 | $30.90 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $21.38 | Professional | None | $7.41 | $12.30 | $21.38 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $7.41 Median $11.22 Typical High $23.99 | Professional | None | $7.41 | $11.22 | $23.99 |
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 $7.59 Median $7.59 Typical High $10.23 | Professional | 52 · Reduced service | $7.59 | $7.59 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.09 Typical High $4.07 | Professional | 53 · Discontinued | $3.02 | $3.09 | $4.07 |
Where Missouri sits
The same service costs 3.8 times more in Kansas 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· 12th of 51
$20.42
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.