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 $22.91 Median $34.67 Typical High $48.98 | Facility | None | $22.91 | $34.67 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Professional | None | $22.91 | $22.91 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $123.03 | Facility | None | $26.92 | $26.92 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $41.69 Typical High $48.98 | Professional | None | $10.96 | $41.69 | $48.98 |
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 $18.62 Median $27.54 Typical High $51.29 | Professional | None | $18.62 | $27.54 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $58.88 Typical High $114.82 | Facility | None | $26.30 | $58.88 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $25.70 Typical High $50.12 | Professional | None | $12.02 | $25.70 | $50.12 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $46.77 Typical High $151.36 | Facility | None | $24.55 | $46.77 | $151.36 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $66.07 Typical High $181.97 | Professional | None | $13.49 | $66.07 | $181.97 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $35.48 | Professional | None | $11.22 | $16.22 | $35.48 |
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 $11.48 Median $11.48 Typical High $15.49 | Professional | 52 · Reduced service | $11.48 | $11.48 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $6.17 | Professional | 53 · Discontinued | $4.57 | $4.57 | $6.17 |
Where Missouri sits
The same service costs 5.4 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· 7th of 51
$34.67
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.