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 $8.91 Median $14.45 Typical High $35.48 | Facility | None | $8.91 | $14.45 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $12.02 | Professional | None | $8.91 | $8.91 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $47.86 | Facility | None | $10.47 | $10.47 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $16.22 Typical High $26.30 | Professional | None | $4.90 | $16.22 | $26.30 |
BCBS Kansas City Setting Facility Modifier None Typical Low $15.14 Median $19.50 Typical High $37.15 | Facility | None | $15.14 | $19.50 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $22.91 Typical High $56.23 | Facility | None | $13.18 | $22.91 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $11.75 Typical High $21.38 | Professional | None | $5.75 | $11.75 | $21.38 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $18.20 Typical High $151.36 | Facility | None | $9.33 | $18.20 | $151.36 |
Medica Setting Professional Modifier None Typical Low $4.68 Median $7.41 Typical High $13.49 | Professional | None | $4.68 | $7.41 | $13.49 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.41 Typical High $13.80 | Professional | None | $4.37 | $7.41 | $13.80 |
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 $4.37 Median $4.47 Typical High $6.03 | Professional | 52 · Reduced service | $4.37 | $4.47 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.40 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.40 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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
$12.59
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.