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 $12.59 Median $19.95 Typical High $72.44 | Facility | None | $12.59 | $19.95 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $38.90 Typical High $64.57 | Professional | None | $12.02 | $38.90 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $16.98 Typical High $67.61 | Professional | None | $10.23 | $16.98 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $21.88 | Professional | None | $12.59 | $13.18 | $21.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $11.75 Median $50.12 Typical High $83.18 | Professional | None | $11.75 | $50.12 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $40.74 Typical High $75.86 | Professional | None | $11.75 | $40.74 | $75.86 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $91.20 Typical High $141.25 | Facility | None | $15.14 | $91.20 | $141.25 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $190.55 Typical High $323.59 | Professional | None | $50.12 | $190.55 | $323.59 |
Qualchoice Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $69.18 | Professional | None | $15.85 | $20.89 | $69.18 |
United Setting Professional Modifier None Typical Low $12.59 Median $38.90 Typical High $77.62 | Professional | None | $12.59 | $38.90 | $77.62 |
1 more rate 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 53 · Discontinued Typical Low $2.40 Median $7.76 Typical High $12.02 | Professional | 53 · Discontinued | $2.40 | $7.76 | $12.02 |
Where Missouri sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 37th of 51
$27.54
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.