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 $21.38 Median $34.67 Typical High $61.66 | Facility | None | $21.38 | $34.67 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $43.65 | Professional | None | $18.20 | $30.90 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $42.66 Typical High $48.98 | Professional | None | $25.70 | $42.66 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $1,479.11 Typical High $1,659.59 | Facility | None | $38.90 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $41.69 Typical High $48.98 | Professional | None | $23.99 | $41.69 | $48.98 |
BCBS Kansas City Setting Professional Modifier None Typical Low $22.39 Median $42.66 Typical High $57.54 | Professional | None | $22.39 | $42.66 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $48.98 | Professional | None | $28.84 | $47.86 | $48.98 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $51.29 Typical High $162.18 | Facility | None | $23.99 | $51.29 | $162.18 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $147.91 Typical High $275.42 | Professional | None | $42.66 | $147.91 | $275.42 |
Qualchoice Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None | $52.48 | $52.48 | $61.66 |
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 $27.54 Median $42.66 Typical High $67.61 | Professional | None | $27.54 | $42.66 | $67.61 |
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 $11.75 Median $18.20 Typical High $25.70 | Professional | 52 · Reduced service | $11.75 | $18.20 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.24 Typical High $10.23 | Professional | 53 · Discontinued | $4.68 | $7.24 | $10.23 |
Where Missouri sits
The same service costs 2.3 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· 35th of 51
$37.15
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.