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 $8.71 Median $12.30 Typical High $21.88 | Facility | None | $8.71 | $12.30 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.91 Typical High $10.72 | Professional | None | $8.71 | $8.91 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $46.77 | Facility | None | $10.23 | $10.23 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $18.20 | Professional | None | $5.01 | $8.91 | $18.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.59 Median $16.60 Typical High $31.62 | Facility | None | $12.59 | $16.60 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $58.88 | Facility | None | $13.49 | $22.39 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $11.48 Typical High $21.88 | Professional | None | $5.89 | $11.48 | $21.88 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $19.05 Typical High $72.44 | Facility | None | $9.12 | $19.05 | $72.44 |
Medica Setting Professional Modifier None Typical Low $4.57 Median $6.76 Typical High $13.18 | Professional | None | $4.57 | $6.76 | $13.18 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.17 Typical High $13.80 | Professional | None | $4.27 | $6.17 | $13.80 |
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 $4.37 Median $4.37 Typical High $5.89 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.34 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.34 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 36th of 51
$8.91
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.