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 $14.13 Median $21.38 Typical High $33.11 | Facility | None | $14.13 | $21.38 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $21.88 | Professional | None | $11.22 | $14.13 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $16.60 | Professional | None | $8.32 | $8.91 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $75.86 | Facility | None | $16.60 | $16.60 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $21.38 Typical High $30.20 | Professional | None | $6.61 | $21.38 | $30.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $45.71 | Facility | None | $18.20 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $36.31 Typical High $69.18 | Facility | None | $15.85 | $36.31 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $18.62 Typical High $25.70 | Professional | None | $7.08 | $18.62 | $25.70 |
Medica Setting Facility Modifier None Typical Low $14.79 Median $32.36 Typical High $77.62 | Facility | None | $14.79 | $32.36 | $77.62 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $22.91 | Professional | None | $10.00 | $15.14 | $22.91 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $25.70 | Professional | None | $10.00 | $15.14 | $25.70 |
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 $7.08 Median $7.08 Typical High $9.55 | Professional | 52 · Reduced service | $7.08 | $7.08 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.80 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.80 |
Where Missouri sits
The same service costs 5.2 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· 18th of 51
$18.20
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.