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 $4.27 Median $5.62 Typical High $17.38 | Facility | None | $4.27 | $5.62 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.37 Typical High $5.75 | Professional | None | $3.80 | $4.37 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $23.44 | Facility | None | $5.01 | $5.01 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $6.03 Typical High $9.12 | Professional | None | $2.04 | $6.03 | $9.12 |
BCBS Kansas City Setting Facility Modifier None Typical Low $4.79 Median $6.31 Typical High $12.02 | Facility | None | $4.79 | $6.31 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $11.22 Typical High $17.78 | Facility | None | $4.17 | $11.22 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $5.13 Typical High $7.76 | Professional | None | $2.04 | $5.13 | $7.76 |
Medica Setting Facility Modifier None Typical Low $4.57 Median $8.13 Typical High $100.00 | Facility | None | $4.57 | $8.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.75 Median $4.57 Typical High $6.61 | Professional | None | $2.75 | $4.57 | $6.61 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $7.24 | Professional | None | $3.02 | $4.57 | $7.24 |
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 $2.14 Median $2.19 Typical High $2.88 | Professional | 52 · Reduced service | $2.14 | $2.19 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.87 Typical High $1.15 | Professional | 53 · Discontinued | $0.85 | $0.87 | $1.15 |
Where Missouri sits
The same service costs 3.0 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· 18th of 51
$5.25
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.