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 $5.01 Median $7.59 Typical High $12.59 | Facility | None | $5.01 | $7.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $5.01 Typical High $6.17 | Professional | None | $3.09 | $5.01 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $26.92 | Facility | None | $5.89 | $5.89 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $8.71 Typical High $14.79 | Professional | None | $2.88 | $8.71 | $14.79 |
BCBS Kansas City Setting Facility Modifier None Typical Low $8.91 Median $11.75 Typical High $22.39 | Facility | None | $8.91 | $11.75 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $12.88 Typical High $33.11 | Facility | None | $7.59 | $12.88 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $6.61 Typical High $12.30 | Professional | None | $3.39 | $6.61 | $12.30 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $14.79 Typical High $100.00 | Facility | None | $5.25 | $14.79 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $4.17 Typical High $7.59 | Professional | None | $2.63 | $4.17 | $7.59 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.37 Typical High $7.94 | Professional | None | $2.45 | $4.37 | $7.94 |
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 $2.51 Median $2.51 Typical High $3.39 | Professional | 52 · Reduced service | $2.51 | $2.51 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.35 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.35 |
Where Missouri sits
The same service costs 3.3 times more in South Carolina 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
$7.08
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.