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 $25.12 Median $35.48 Typical High $54.95 | Facility | None | $25.12 | $35.48 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $33.88 | Professional | None | $25.12 | $25.70 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $138.04 | Facility | None | $29.51 | $29.51 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $41.69 Typical High $53.70 | Professional | None | $12.02 | $41.69 | $53.70 |
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 $20.89 Median $27.54 Typical High $56.23 | Professional | None | $20.89 | $27.54 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $66.07 Typical High $114.82 | Facility | None | $26.30 | $66.07 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $26.30 Typical High $51.29 | Professional | None | $12.59 | $26.30 | $51.29 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $51.29 Typical High $151.36 | Facility | None | $26.92 | $51.29 | $151.36 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $74.13 Typical High $181.97 | Professional | None | $14.79 | $74.13 | $181.97 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $38.90 | Professional | None | $12.59 | $17.78 | $38.90 |
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 $12.59 Median $12.88 Typical High $16.98 | Professional | 52 · Reduced service | $12.59 | $12.88 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $6.92 | Professional | 53 · Discontinued | $5.13 | $5.13 | $6.92 |
Where Missouri sits
The same service costs 5.4 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· 9th of 51
$36.31
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.