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 $69.18 Median $85.11 Typical High $117.49 | Facility | None | $69.18 | $85.11 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $162.18 | Professional | None | $67.61 | $81.28 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $147.91 | Professional | None | $42.66 | $46.77 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $112.20 Typical High $204.17 | Professional | None | $51.29 | $112.20 | $204.17 |
BCBS Kansas City Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $218.78 | Facility | None | $89.13 | $114.82 | $218.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $154.88 | Professional | None | $69.18 | $100.00 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $173.78 Typical High $281.84 | Facility | None | $77.62 | $173.78 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $134.90 | Professional | None | $39.81 | $46.77 | $134.90 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $371.54 | Facility | None | $87.10 | $144.54 | $371.54 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $512.86 Typical High $602.56 | Professional | None | $102.33 | $512.86 | $602.56 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None Typical Low $52.48 Median $87.10 Typical High $213.80 | Professional | None | $52.48 | $87.10 | $213.80 |
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 $33.88 Median $39.81 Typical High $46.77 | Professional | 52 · Reduced service | $33.88 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $19.05 | Professional | 53 · Discontinued | $13.49 | $15.85 | $19.05 |
Where Missouri sits
The same service costs 4.5 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· 12th of 51
$120
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.