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 $9.12 Median $13.80 Typical High $37.15 | Facility | None | $9.12 | $13.80 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $11.48 | Professional | None | $9.12 | $9.77 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $50.12 | Facility | None | $10.72 | $10.72 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $15.14 Typical High $27.54 | Professional | None | $5.37 | $15.14 | $27.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $16.60 Median $21.38 Typical High $40.74 | Facility | None | $16.60 | $21.38 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $61.66 | Facility | None | $14.45 | $23.99 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $12.02 Typical High $22.91 | Professional | None | $6.31 | $12.02 | $22.91 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $27.54 Typical High $144.54 | Facility | None | $9.77 | $27.54 | $144.54 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $7.76 Typical High $14.13 | Professional | None | $4.90 | $7.76 | $14.13 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $4.57 Median $7.94 Typical High $14.45 | Professional | None | $4.57 | $7.94 | $14.45 |
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 $4.57 Median $4.68 Typical High $6.17 | Professional | 52 · Reduced service | $4.57 | $4.68 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.86 Typical High $2.51 | Professional | 53 · Discontinued | $1.82 | $1.86 | $2.51 |
Where Missouri sits
The same service costs 4.9 times more in South Carolina than in Alabama. 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
$12.88
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.