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 $5.89 Median $8.51 Typical High $12.88 | Facility | None | $5.89 | $8.51 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.03 Typical High $8.13 | Professional | None | $5.89 | $6.03 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $32.36 | Facility | None | $7.08 | $7.08 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $10.96 | Professional | None | $2.82 | $5.01 | $10.96 |
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 $13.49 Typical High $19.05 | Facility | None | $3.16 | $13.49 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $5.37 Typical High $10.23 | Professional | None | $1.51 | $5.37 | $10.23 |
Medica Setting Facility Modifier None Typical Low $3.80 Median $8.32 Typical High $60.26 | Facility | None | $3.80 | $8.32 | $60.26 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $5.89 Typical High $8.51 | Professional | None | $2.63 | $5.89 | $8.51 |
United Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
United Setting Professional Modifier None Typical Low $2.63 Median $5.01 Typical High $10.00 | Professional | None | $2.63 | $5.01 | $10.00 |
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 $2.95 Median $3.02 Typical High $4.07 | Professional | 52 · Reduced service | $2.95 | $3.02 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.20 Typical High $1.62 | Professional | 53 · Discontinued | $1.20 | $1.20 | $1.62 |
Where Missouri sits
The same service costs 5.4 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· 31st of 51
$5.37
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.