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 $16.98 Median $26.30 Typical High $37.15 | Facility | None | $16.98 | $26.30 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $22.91 | Professional | None | $16.98 | $17.38 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $93.33 | Facility | None | $19.95 | $19.95 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $36.31 Typical High $47.86 | Professional | None | $10.23 | $36.31 | $47.86 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $43.65 | Facility | None | $17.78 | $22.91 | $43.65 |
BCBS Kansas City Setting Professional Modifier None Typical Low $14.13 Median $27.54 Typical High $38.02 | Professional | None | $14.13 | $27.54 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $114.82 | Facility | None | $26.30 | $44.67 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $19.05 Typical High $38.90 | Professional | None | $9.77 | $19.05 | $38.90 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $36.31 Typical High $95.50 | Facility | None | $18.20 | $36.31 | $95.50 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $50.12 Typical High $165.96 | Professional | None | $10.00 | $50.12 | $165.96 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $26.92 | Professional | None | $8.51 | $12.02 | $26.92 |
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 $8.51 Median $8.71 Typical High $11.48 | Professional | 52 · Reduced service | $8.51 | $8.71 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $4.57 | Professional | 53 · Discontinued | $3.39 | $3.47 | $4.57 |
Where Missouri sits
The same service costs 5.5 times more in Texas than in Alabama. 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· 12th of 51
$28.18
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.