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 $6.31 Median $7.24 Typical High $16.22 | Facility | None | $6.31 | $7.24 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.46 Typical High $8.51 | Professional | None | $6.31 | $6.46 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $34.67 | Facility | None | $7.41 | $7.41 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $10.23 Typical High $17.38 | Professional | None | $3.39 | $10.23 | $17.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $10.47 Median $13.80 Typical High $26.30 | Facility | None | $10.47 | $13.80 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $16.60 Typical High $38.90 | Facility | None | $9.33 | $16.60 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $8.51 Typical High $14.45 | Professional | None | $3.98 | $8.51 | $14.45 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $17.38 Typical High $100.00 | Facility | None | $6.76 | $17.38 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $5.37 Typical High $9.55 | Professional | None | $3.39 | $5.37 | $9.55 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.13 Typical High $10.00 | Professional | None | $3.16 | $5.13 | $10.00 |
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 $3.16 Median $3.24 Typical High $4.27 | Professional | 52 · Reduced service | $3.16 | $3.24 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.29 Typical High $1.74 | Professional | 53 · Discontinued | $1.26 | $1.29 | $1.74 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$8.71
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.