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 $8.13 Median $12.30 Typical High $18.20 | Facility | None | $8.13 | $12.30 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $10.00 | Professional | None | $7.94 | $8.51 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $43.65 | Facility | None | $9.33 | $9.33 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $5.37 Typical High $16.98 | Professional | None | $3.02 | $5.37 | $16.98 |
BCBS Kansas City Setting Facility Modifier None Typical Low $14.45 Median $19.05 Typical High $36.31 | Facility | None | $14.45 | $19.05 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $20.89 Typical High $53.70 | Facility | None | $12.30 | $20.89 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $10.72 Typical High $19.95 | Professional | None | $5.50 | $10.72 | $19.95 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $16.60 Typical High $60.26 | Facility | None | $8.51 | $16.60 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $6.76 Typical High $12.30 | Professional | None | $4.27 | $6.76 | $12.30 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.08 Typical High $12.59 | Professional | None | $3.98 | $7.08 | $12.59 |
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 $3.98 Median $4.07 Typical High $5.37 | Professional | 52 · Reduced service | $3.98 | $4.07 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.62 Typical High $2.19 | Professional | 53 · Discontinued | $1.58 | $1.62 | $2.19 |
Where Missouri sits
The same service costs 5.0 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· 36th of 51
$8.13
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.