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 $8.32 Median $13.49 Typical High $18.20 | Facility | None | $8.32 | $13.49 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.55 Typical High $11.48 | Professional | None | $8.32 | $9.55 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $45.71 | Facility | None | $10.00 | $10.00 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $7.08 Typical High $18.62 | Professional | None | $4.68 | $7.08 | $18.62 |
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 $21.88 Typical High $53.70 | Facility | None | $12.30 | $21.88 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $11.48 Typical High $19.95 | Professional | None | $5.50 | $11.48 | $19.95 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $23.99 Typical High $60.26 | Facility | None | $8.91 | $23.99 | $60.26 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $7.08 Typical High $12.88 | Professional | None | $4.47 | $7.08 | $12.88 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $4.17 Median $7.08 Typical High $13.18 | Professional | None | $4.17 | $7.08 | $13.18 |
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 $4.17 Median $4.27 Typical High $5.75 | Professional | 52 · Reduced service | $4.17 | $4.27 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.29 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.29 |
Where Missouri sits
The same service costs 3.2 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· 33rd of 51
$8.51
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.