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 $12.88 Median $20.89 Typical High $28.18 | Facility | None | $12.88 | $20.89 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $14.79 | Professional | None | $12.88 | $13.49 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $70.79 | Facility | None | $15.14 | $15.14 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $21.88 Typical High $38.90 | Professional | None | $7.59 | $21.88 | $38.90 |
BCBS Setting Facility Modifier None Typical Low $21.88 Median $28.18 Typical High $53.70 | Facility | None | $21.88 | $28.18 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $33.88 Typical High $87.10 | Facility | None | $19.95 | $33.88 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $17.38 Typical High $32.36 | Professional | None | $8.91 | $17.38 | $32.36 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $34.67 Typical High $89.13 | Facility | None | $13.80 | $34.67 | $89.13 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $19.95 | Professional | None | $6.92 | $10.96 | $19.95 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $6.46 Median $11.22 Typical High $20.42 | Professional | None | $6.46 | $11.22 | $20.42 |
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 $6.46 Median $6.61 Typical High $8.71 | Professional | 52 · Reduced service | $6.46 | $6.61 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.63 Typical High $3.55 | Professional | 53 · Discontinued | $2.57 | $2.63 | $3.55 |
Where Missouri sits
The same service costs 3.9 times more in Kansas 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· 14th of 51
$18.20
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.