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 $11.48 Median $17.78 Typical High $25.12 | Facility | None | $11.48 | $17.78 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $15.49 | Professional | None | $11.48 | $11.75 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $63.10 | Facility | None | $13.49 | $13.49 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $19.50 Typical High $30.20 | Professional | None | $5.62 | $19.50 | $30.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.38 Median $22.39 Typical High $42.66 | Facility | None | $17.38 | $22.39 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $30.20 Typical High $66.07 | Facility | None | $15.14 | $30.20 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $15.49 Typical High $24.55 | Professional | None | $6.61 | $15.49 | $24.55 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $25.12 Typical High $100.00 | Facility | None | $12.30 | $25.12 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $16.22 | Professional | None | $5.75 | $9.55 | $16.22 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $18.20 | Professional | None | $5.75 | $8.51 | $18.20 |
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 $5.75 Median $5.89 Typical High $7.76 | Professional | 52 · Reduced service | $5.75 | $5.89 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.34 Typical High $3.16 | Professional | 53 · Discontinued | $2.29 | $2.34 | $3.16 |
Where Missouri sits
The same service costs 3.3 times more in Alaska than in Nebraska. 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· 18th 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.