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 $14.45 Median $21.88 Typical High $30.90 | Facility | None | $14.45 | $21.88 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $17.78 | Professional | None | $12.30 | $14.45 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $77.62 | Facility | None | $16.98 | $16.98 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $30.20 | Professional | None | $7.08 | $11.75 | $30.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $27.54 Median $28.18 Typical High $53.70 | Facility | None | $27.54 | $28.18 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $37.15 Typical High $83.18 | Facility | None | $20.42 | $37.15 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $19.05 Typical High $23.99 | Professional | None | $8.32 | $19.05 | $23.99 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $28.84 Typical High $79.43 | Facility | None | $15.14 | $28.84 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $20.42 | Professional | None | $7.08 | $11.75 | $20.42 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $22.91 | Professional | None | $7.08 | $10.72 | $22.91 |
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 $7.24 Median $7.24 Typical High $9.77 | Professional | 52 · Reduced service | $7.24 | $7.24 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.89 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.89 |
Where Missouri sits
The same service costs 3.7 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· 35th of 51
$13.80
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.