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 $48.98 Median $48.98 Typical High $57.54 | Facility | None | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $57.54 | Professional | None | $45.71 | $48.98 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $40.74 Typical High $44.67 | Professional | None | $23.99 | $40.74 | $44.67 |
BCBS Kansas City Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $54.95 | Professional | None | $46.77 | $51.29 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $758.58 | Facility | None | $109.65 | $109.65 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $58.88 | Professional | None | $38.90 | $45.71 | $58.88 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $100.00 Typical High $933.25 | Facility | None | $26.92 | $100.00 | $933.25 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $295.12 | Professional | None | $33.88 | $42.66 | $295.12 |
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 $33.88 Median $39.81 Typical High $60.26 | Professional | None | $33.88 | $39.81 | $60.26 |
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 $23.44 Median $24.55 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $11.48 | Professional | 53 · Discontinued | $9.33 | $9.77 | $11.48 |
Where Missouri sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 38th of 51
$42.66
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.