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 $15.85 Typical High $30.20 | Facility | None | $10.00 | $15.85 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $18.62 | Professional | None | $13.80 | $14.13 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $75.86 | Facility | None | $16.22 | $16.22 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $19.95 | Professional | None | $5.37 | $7.94 | $19.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5.50 Median $7.24 Typical High $13.80 | Facility | None | $5.50 | $7.24 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $27.54 Typical High $44.67 | Facility | None | $4.79 | $27.54 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $12.59 Typical High $23.44 | Professional | None | $2.40 | $12.59 | $23.44 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $19.50 Typical High $100.00 | Facility | None | $5.75 | $19.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.09 Median $9.77 Typical High $19.50 | Professional | None | $3.09 | $9.77 | $19.50 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $3.09 Median $9.77 Typical High $21.38 | Professional | None | $3.09 | $9.77 | $21.38 |
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 $6.92 Median $7.08 Typical High $9.33 | Professional | 52 · Reduced service | $6.92 | $7.08 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.82 Typical High $3.72 | Professional | 53 · Discontinued | $2.75 | $2.82 | $3.72 |
Where Missouri sits
The same service costs 8.9 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· 32nd of 51
$9.77
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.