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 $64.57 Median $97.72 Typical High $138.04 | Facility | None | $64.57 | $97.72 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $87.10 | Professional | None | $64.57 | $64.57 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $346.74 | Facility | None | $75.86 | $75.86 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $30.90 Typical High $128.82 | Professional | None | $17.78 | $30.90 | $128.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $41.69 Median $42.66 Typical High $81.28 | Facility | None | $41.69 | $42.66 | $81.28 |
BCBS Kansas City Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $144.54 | Professional | None | $30.20 | $51.29 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $128.82 Typical High $239.88 | Facility | None | $20.89 | $128.82 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $40.74 Typical High $97.72 | Professional | None | $13.49 | $40.74 | $97.72 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $91.20 Typical High $363.08 | Facility | None | $33.11 | $91.20 | $363.08 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $75.86 Typical High $380.19 | Professional | None | $17.78 | $75.86 | $380.19 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $17.78 Median $45.71 Typical High $100.00 | Professional | None | $17.78 | $45.71 | $100.00 |
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 $32.36 Median $32.36 Typical High $43.65 | Professional | 52 · Reduced service | $32.36 | $32.36 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $17.38 | Professional | 53 · Discontinued | $12.88 | $12.88 | $17.38 |
Where Missouri sits
The same service costs 6.0 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· 27th of 51
$52.48
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.