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 $15.49 Median $21.38 Typical High $30.90 | Facility | None | $15.49 | $21.38 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $20.42 | Professional | None | $15.14 | $15.85 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $83.18 | Facility | None | $17.78 | $17.78 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $32.36 | Professional | None | $8.91 | $13.18 | $32.36 |
BCBS Kansas City Setting Facility Modifier None Typical Low $30.90 Median $33.88 Typical High $60.26 | Facility | None | $30.90 | $33.88 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $35.48 Typical High $70.79 | Facility | None | $20.42 | $35.48 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $20.42 Typical High $26.30 | Professional | None | $8.91 | $20.42 | $26.30 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $30.90 Typical High $100.00 | Facility | None | $15.49 | $30.90 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $22.39 | Professional | None | $7.76 | $12.88 | $22.39 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $7.59 Median $13.18 Typical High $23.99 | Professional | None | $7.59 | $13.18 | $23.99 |
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 $7.59 Median $7.76 Typical High $10.23 | Professional | 52 · Reduced service | $7.59 | $7.76 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.09 Typical High $4.07 | Professional | 53 · Discontinued | $3.02 | $3.09 | $4.07 |
Where Missouri sits
The same service costs 3.3 times more in Alaska than in Georgia. 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· 33rd of 51
$15.49
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.