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 $10.00 Median $524.81 Typical High $3,801.89 | Facility | None | $10.00 | $524.81 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $17.78 | Professional | None | $8.71 | $9.12 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $12.59 | Professional | None | $7.41 | $8.91 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $13.49 Typical High $19.05 | Professional | None | $9.77 | $13.49 | $19.05 |
BCBS Kansas City Setting Professional Modifier None Typical Low $8.51 Median $8.91 Typical High $12.88 | Professional | None | $8.51 | $8.91 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $19.05 | Professional | None | $7.94 | $10.00 | $19.05 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $17.38 Typical High $100.00 | Facility | None | $10.00 | $17.38 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $77.62 Typical High $77.62 | Professional | None | $8.71 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $21.38 | Professional | None | $7.76 | $10.47 | $21.38 |
4 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 $5.01 | Professional | 52 · Reduced service | $4.37 | $4.47 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.82 Typical High $2.00 | Professional | 53 · Discontinued | $1.74 | $1.82 | $2.00 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $7.41 Median $7.41 Typical High $18.62 | Professional | 59 · Distinct service | $7.41 | $7.41 | $18.62 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $8.32 Median $8.32 Typical High $11.22 | Professional | 76 · Repeat, same provider | $8.32 | $8.32 | $11.22 |
Where Missouri sits
The same service costs 2.5 times more in Alaska than in Maryland. 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· 19th of 51
$12.02
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.