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 $7.41 Median $11.48 Typical High $16.22 | Facility | None | $7.41 | $11.48 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $8.51 | Professional | None | $7.41 | $7.59 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $40.74 | Facility | None | $8.71 | $8.71 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $13.80 Typical High $21.38 | Professional | None | $4.07 | $13.80 | $21.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.59 Median $16.60 Typical High $30.90 | Facility | None | $12.59 | $16.60 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $19.50 Typical High $47.86 | Facility | None | $10.96 | $19.50 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $10.00 Typical High $17.38 | Professional | None | $4.68 | $10.00 | $17.38 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $15.49 Typical High $100.00 | Facility | None | $7.94 | $15.49 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $6.31 Typical High $10.72 | Professional | None | $3.98 | $6.31 | $10.72 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $11.75 | Professional | None | $3.72 | $6.17 | $11.75 |
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 $3.72 Median $3.80 Typical High $5.01 | Professional | 52 · Reduced service | $3.72 | $3.80 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $2.04 | Professional | 53 · Discontinued | $1.51 | $1.51 | $2.04 |
Where Missouri sits
The same service costs 3.5 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· 14th of 51
$10.47
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.