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 $18.62 Median $28.18 Typical High $40.74 | Facility | None | $18.62 | $28.18 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.05 Typical High $25.12 | Professional | None | $18.62 | $19.05 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $102.33 | Facility | None | $21.88 | $21.88 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $38.02 Typical High $43.65 | Professional | None | $10.23 | $38.02 | $43.65 |
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 $15.49 Median $27.54 Typical High $41.69 | Professional | None | $15.49 | $27.54 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $48.98 Typical High $114.82 | Facility | None | $26.30 | $48.98 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $20.89 Typical High $41.69 | Professional | None | $10.72 | $20.89 | $41.69 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $38.02 Typical High $186.21 | Facility | None | $19.95 | $38.02 | $186.21 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $53.70 Typical High $181.97 | Professional | None | $10.96 | $53.70 | $181.97 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $28.84 | Professional | None | $9.12 | $13.18 | $28.84 |
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 $9.33 Median $9.33 Typical High $12.59 | Professional | 52 · Reduced service | $9.33 | $9.33 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.80 Typical High $5.01 | Professional | 53 · Discontinued | $3.72 | $3.80 | $5.01 |
Where Missouri sits
The same service costs 4.7 times more in Alaska 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· 8th of 51
$29.51
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.