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 $12.30 Median $17.38 Typical High $25.12 | Facility | None | $12.30 | $17.38 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $15.49 | Professional | None | $11.75 | $12.30 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $66.07 | Facility | None | $14.45 | $14.45 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $19.50 Typical High $33.88 | Professional | None | $6.31 | $19.50 | $33.88 |
BCBS Kansas City Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $48.98 | Facility | None | $19.50 | $25.70 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $31.62 Typical High $72.44 | Facility | None | $16.98 | $31.62 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $16.60 Typical High $27.54 | Professional | None | $7.59 | $16.60 | $27.54 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $25.12 Typical High $100.00 | Facility | None | $12.88 | $25.12 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $17.38 | Professional | None | $6.31 | $10.23 | $17.38 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
United Setting Professional Modifier None Typical Low $6.03 Median $9.55 Typical High $19.50 | Professional | None | $6.03 | $9.55 | $19.50 |
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 $6.17 Median $6.17 Typical High $8.32 | Professional | 52 · Reduced service | $6.17 | $6.17 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $3.31 | Professional | 53 · Discontinued | $2.45 | $2.51 | $3.31 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 17th of 51
$16.60
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.