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 $10.00 Median $14.45 Typical High $21.38 | Facility | None | $10.00 | $14.45 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.00 Typical High $13.18 | Professional | None | $9.77 | $10.00 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $53.70 | Facility | None | $11.48 | $11.48 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $18.62 Typical High $28.84 | Professional | None | $5.75 | $18.62 | $28.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.38 Median $22.91 Typical High $43.65 | Facility | None | $17.38 | $22.91 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $25.12 Typical High $66.07 | Facility | None | $15.14 | $25.12 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $13.18 Typical High $24.55 | Professional | None | $6.76 | $13.18 | $24.55 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $20.89 Typical High $97.72 | Facility | None | $10.47 | $20.89 | $97.72 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $14.45 | Professional | None | $5.25 | $8.13 | $14.45 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $15.49 | Professional | None | $4.79 | $8.51 | $15.49 |
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 $4.90 Median $5.01 Typical High $6.61 | Professional | 52 · Reduced service | $4.90 | $5.01 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $2.63 | Professional | 53 · Discontinued | $1.95 | $2.00 | $2.63 |
Where Missouri sits
The same service costs 5.2 times more in Minnesota than in Maryland. 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
$13.80
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.