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 $1.78 Median $2.09 Typical High $2.40 | Facility | None | $1.78 | $2.09 | $2.40 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $2.04 Typical High $2.40 | Professional | None | $1.70 | $2.04 | $2.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.19 Median $1,479.11 Typical High $1,659.59 | Facility | None | $2.19 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $2.09 Typical High $2.40 | Professional | None | $1.82 | $2.09 | $2.40 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2.14 Median $2.45 Typical High $3.98 | Professional | None | $2.14 | $2.45 | $3.98 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $5.01 | Professional | None | $1.00 | $5.01 | $5.01 |
Medica Setting Facility Modifier None Typical Low $2.24 Median $4.27 Typical High $75.86 | Facility | None | $2.24 | $4.27 | $75.86 |
Medica Setting Professional Modifier None Typical Low $2.24 Median $3.24 Typical High $13.18 | Professional | None | $2.24 | $3.24 | $13.18 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Facility | None | $91.20 | $91.20 | $95.50 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.34 Typical High $3.24 | Professional | None | $2.09 | $2.34 | $3.24 |
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 $1.12 Median $1.20 Typical High $1.41 | Professional | 52 · Reduced service | $1.12 | $1.20 | $1.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.48 Typical High $0.56 | Professional | 53 · Discontinued | $0.45 | $0.48 | $0.56 |
Where Missouri sits
The same service costs 2.2 times more in North Dakota 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· 28th of 51
$2.24
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.