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 $12.30 Median $19.05 Typical High $31.62 | Facility | None | $12.30 | $19.05 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $14.13 | Professional | None | $10.00 | $12.59 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $67.61 | Facility | None | $14.45 | $14.45 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $18.62 Typical High $28.84 | Professional | None | $5.89 | $18.62 | $28.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $16.60 Median $21.88 Typical High $41.69 | Facility | None | $16.60 | $21.88 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $32.36 Typical High $63.10 | Facility | None | $14.45 | $32.36 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $16.60 Typical High $23.44 | Professional | None | $6.46 | $16.60 | $23.44 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $25.70 Typical High $102.33 | Facility | None | $13.18 | $25.70 | $102.33 |
Medica Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $17.38 | Professional | None | $6.17 | $9.12 | $17.38 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
United Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $19.50 | Professional | None | $6.17 | $8.71 | $19.50 |
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 $6.17 Median $6.31 Typical High $8.32 | Professional | 52 · Reduced service | $6.17 | $6.31 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $3.39 | Professional | 53 · Discontinued | $2.45 | $2.51 | $3.39 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 15th of 51
$16.60
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.