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 $30.20 Median $30.20 Typical High $34.67 | Facility | None | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $36.31 | Professional | None | $26.92 | $30.20 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $25.12 Typical High $33.11 | Professional | None | $19.05 | $25.12 | $33.11 |
BCBS Kansas City Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $45.71 | Professional | None | $38.90 | $41.69 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $354.81 | Facility | None | $100.00 | $100.00 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $46.77 | Professional | None | $31.62 | $37.15 | $46.77 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $79.43 Typical High $380.19 | Facility | None | $23.99 | $79.43 | $380.19 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $234.42 | Professional | None | $25.12 | $30.20 | $234.42 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
United Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $61.66 | Professional | None | $23.99 | $29.51 | $61.66 |
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 $13.49 Median $15.14 Typical High $18.20 | Professional | 52 · Reduced service | $13.49 | $15.14 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $7.41 | Professional | 53 · Discontinued | $5.37 | $6.03 | $7.41 |
Where Missouri sits
The same service costs 3.4 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· 48th of 51
$29.51
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.