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 $3.39 Median $5.50 Typical High $13.49 | Facility | None | $3.39 | $5.50 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.63 Typical High $3.80 | Professional | None | $3.39 | $3.63 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $18.20 | Facility | None | $3.98 | $3.98 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $5.50 Typical High $8.71 | Professional | None | $1.95 | $5.50 | $8.71 |
BCBS Kansas City Setting Facility Modifier None Typical Low $6.03 Median $7.76 Typical High $14.79 | Facility | None | $6.03 | $7.76 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $8.71 Typical High $22.39 | Facility | None | $5.13 | $8.71 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $4.37 Typical High $8.32 | Professional | None | $2.29 | $4.37 | $8.32 |
Medica Setting Facility Modifier None Typical Low $3.55 Median $6.92 Typical High $60.26 | Facility | None | $3.55 | $6.92 | $60.26 |
Medica Setting Professional Modifier None Typical Low $1.78 Median $2.82 Typical High $5.13 | Professional | None | $1.78 | $2.82 | $5.13 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.95 Typical High $5.25 | Professional | None | $1.66 | $2.95 | $5.25 |
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 $1.70 Median $1.70 Typical High $2.29 | Professional | 52 · Reduced service | $1.70 | $1.70 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.91 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.91 |
Where Missouri sits
The same service costs 3.4 times more in Kansas than in Maryland. 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· 13th of 51
$4.68
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.