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 $19.05 Median $24.55 Typical High $39.81 | Facility | None | $19.05 | $24.55 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.50 Typical High $26.92 | Professional | None | $19.05 | $19.50 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $72.44 | Facility | None | $15.85 | $15.85 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $29.51 Typical High $39.81 | Professional | None | $10.96 | $29.51 | $39.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $75.86 | Facility | None | $30.90 | $39.81 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $125.89 | Facility | None | $29.51 | $48.98 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $57.54 | Professional | None | $18.20 | $23.99 | $57.54 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $38.90 Typical High $181.97 | Facility | None | $21.38 | $38.90 | $181.97 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $26.92 | Professional | None | $10.00 | $15.85 | $26.92 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $30.90 | Professional | None | $9.33 | $13.49 | $30.90 |
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 $9.55 Median $9.55 Typical High $12.88 | Professional | 52 · Reduced service | $9.55 | $9.55 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $5.13 | Professional | 53 · Discontinued | $3.80 | $3.80 | $5.13 |
Where Missouri sits
The same service costs 4.8 times more in Minnesota 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· 20th of 51
$26.30
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.