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 $17.38 Median $19.95 Typical High $37.15 | Facility | None | $17.38 | $19.95 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $23.44 | Professional | None | $17.38 | $17.38 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $93.33 | Facility | None | $20.42 | $20.42 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $26.30 | Professional | None | $6.76 | $8.91 | $26.30 |
BCBS Kansas City Setting Facility Modifier None Typical Low $6.92 Median $8.91 Typical High $16.98 | Facility | None | $6.92 | $8.91 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $34.67 Typical High $54.95 | Facility | None | $6.03 | $34.67 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $16.22 Typical High $29.51 | Professional | None | $2.95 | $16.22 | $29.51 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $24.55 Typical High $100.00 | Facility | None | $7.24 | $24.55 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.89 Median $12.30 Typical High $24.55 | Professional | None | $3.89 | $12.30 | $24.55 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $3.89 Median $12.30 Typical High $26.92 | Professional | None | $3.89 | $12.30 | $26.92 |
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 $8.71 Median $8.71 Typical High $11.75 | Professional | 52 · Reduced service | $8.71 | $8.71 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.68 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.68 |
Where Missouri sits
The same service costs 7.6 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· 38th of 51
$12.30
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.