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 $15.14 Median $23.44 Typical High $33.11 | Facility | None | $15.14 | $23.44 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $20.89 | Professional | None | $14.13 | $15.49 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $83.18 | Facility | None | $17.78 | $17.78 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $26.30 Typical High $87.10 | Professional | None | $8.51 | $26.30 | $87.10 |
BCBS Kansas City Setting Facility Modifier None Typical Low $22.91 Median $29.51 Typical High $56.23 | Facility | None | $22.91 | $29.51 | $56.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $35.48 | Professional | None | $12.59 | $18.62 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $39.81 Typical High $87.10 | Facility | None | $19.95 | $39.81 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $50.12 | Professional | None | $8.71 | $19.05 | $50.12 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $31.62 Typical High $100.00 | Facility | None | $16.22 | $31.62 | $100.00 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $134.90 Typical High $134.90 | Professional | None | $17.78 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $10.72 Median $19.05 Typical High $45.71 | Professional | None | $10.72 | $19.05 | $45.71 |
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 $7.59 Median $7.76 Typical High $10.23 | Professional | 52 · Reduced service | $7.59 | $7.76 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $4.17 | Professional | 53 · Discontinued | $3.09 | $3.09 | $4.17 |
Where Missouri sits
The same service costs 10.2 times more in Texas than in New Jersey. 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· 15th 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.