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 $23.99 Median $28.18 Typical High $85.11 | Facility | None | $23.99 | $28.18 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $50.12 Typical High $85.11 | Professional | None | $22.39 | $50.12 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $46.77 Typical High $81.28 | Professional | None | $26.92 | $46.77 | $81.28 |
BCBS Kansas City Setting Professional Modifier None Typical Low $19.50 Median $70.79 Typical High $100.00 | Professional | None | $19.50 | $70.79 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $165.96 Typical High $758.58 | Facility | None | $83.18 | $165.96 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $58.88 Typical High $120.23 | Professional | None | $21.88 | $58.88 | $120.23 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $85.11 Typical High $831.76 | Facility | None | $31.62 | $85.11 | $831.76 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $269.15 Typical High $436.52 | Professional | None | $74.13 | $269.15 | $436.52 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $724.44 | Facility | None | $676.08 | $676.08 | $724.44 |
United Setting Professional Modifier None Typical Low $22.39 Median $61.66 Typical High $107.15 | Professional | None | $22.39 | $61.66 | $107.15 |
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 $10.96 Median $24.55 Typical High $42.66 | Professional | 52 · Reduced service | $10.96 | $24.55 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $10.00 Typical High $16.98 | Professional | 53 · Discontinued | $4.47 | $10.00 | $16.98 |
Where Missouri sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 39th of 51
$58.88
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.