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 $6.61 Median $10.00 Typical High $14.45 | Facility | None | $6.61 | $10.00 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $7.59 | Professional | None | $4.79 | $6.76 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $36.31 | Facility | None | $7.76 | $7.76 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $7.08 Typical High $14.13 | Professional | None | $3.16 | $7.08 | $14.13 |
BCBS Kansas City Setting Facility Modifier None Typical Low $7.94 Median $10.47 Typical High $19.50 | Facility | None | $7.94 | $10.47 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $17.38 Typical High $30.20 | Facility | None | $7.08 | $17.38 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $8.51 Typical High $12.30 | Professional | None | $3.39 | $8.51 | $12.30 |
Medica Setting Facility Modifier None Typical Low $7.08 Median $13.49 Typical High $70.79 | Facility | None | $7.08 | $13.49 | $70.79 |
Medica Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $9.33 | Professional | None | $3.31 | $4.68 | $9.33 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $10.47 | Professional | None | $3.31 | $4.68 | $10.47 |
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 $3.31 Median $3.39 Typical High $4.47 | Professional | 52 · Reduced service | $3.31 | $3.39 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.35 Typical High $1.82 | Professional | 53 · Discontinued | $1.32 | $1.35 | $1.82 |
Where Missouri sits
The same service costs 3.5 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· 27th of 51
$7.08
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.