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 $3.39 Median $4.17 Typical High $7.41 | Facility | None | $3.39 | $4.17 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.47 Typical High $4.57 | Professional | None | $2.95 | $3.47 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $18.62 | Facility | None | $3.98 | $3.98 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $4.79 Typical High $6.76 | Professional | None | $1.58 | $4.79 | $6.76 |
BCBS Kansas City Setting Facility Modifier None Typical Low $3.63 Median $4.68 Typical High $8.91 | Facility | None | $3.63 | $4.68 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $8.91 Typical High $13.49 | Facility | None | $3.16 | $8.91 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $3.89 Typical High $6.17 | Professional | None | $1.51 | $3.89 | $6.17 |
Medica Setting Facility Modifier None Typical Low $3.55 Median $6.03 Typical High $70.79 | Facility | None | $3.55 | $6.03 | $70.79 |
Medica Setting Professional Modifier None Typical Low $2.19 Median $3.63 Typical High $5.25 | Professional | None | $2.19 | $3.63 | $5.25 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.63 Typical High $5.75 | Professional | None | $2.40 | $3.63 | $5.75 |
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 $1.70 Median $1.74 Typical High $2.29 | Professional | 52 · Reduced service | $1.70 | $1.74 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.69 Typical High $0.91 | Professional | 53 · Discontinued | $0.68 | $0.69 | $0.91 |
Where Missouri sits
The same service costs 3.3 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· 16th of 51
$3.98
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.