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 $8.32 Median $11.48 Typical High $20.42 | Facility | None | $8.32 | $11.48 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.71 Typical High $10.96 | Professional | None | $8.13 | $8.71 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $44.67 | Facility | None | $9.55 | $9.55 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $14.45 Typical High $23.99 | Professional | None | $4.68 | $14.45 | $23.99 |
BCBS Kansas City Setting Facility Modifier None Typical Low $14.45 Median $19.05 Typical High $36.31 | Facility | None | $14.45 | $19.05 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $20.89 Typical High $54.95 | Facility | None | $12.88 | $20.89 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $10.96 Typical High $19.95 | Professional | None | $5.50 | $10.96 | $19.95 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $24.55 Typical High $67.61 | Facility | None | $8.71 | $24.55 | $67.61 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $6.76 Typical High $12.02 | Professional | None | $4.27 | $6.76 | $12.02 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.08 Typical High $12.88 | Professional | None | $3.98 | $7.08 | $12.88 |
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 $4.07 Median $4.07 Typical High $5.50 | Professional | 52 · Reduced service | $4.07 | $4.07 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.66 Typical High $2.19 | Professional | 53 · Discontinued | $1.62 | $1.66 | $2.19 |
Where Missouri sits
The same service costs 5.9 times more in Alaska 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· 17th of 51
$11.48
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.