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 $33.88 Typical High $50.12 | Facility | None | $21.38 | $33.88 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $35.48 | Professional | None | $21.38 | $27.54 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $54.95 | Professional | None | $33.11 | $40.74 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $52.48 | Professional | None | $28.84 | $37.15 | $52.48 |
BCBS Kansas City Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $48.98 | Professional | None | $26.92 | $39.81 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $38.02 Typical High $61.66 | Professional | None | $29.51 | $38.02 | $61.66 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $93.33 Typical High $134.90 | Facility | None | $26.30 | $93.33 | $134.90 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $190.55 Typical High $251.19 | Professional | None | $37.15 | $190.55 | $251.19 |
Qualchoice Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | None | $43.65 | $43.65 | $51.29 |
United Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $52.48 | Professional | None | $26.30 | $37.15 | $52.48 |
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 $10.47 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $10.47 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.50 Typical High $6.76 | Professional | 53 · Discontinued | $4.27 | $5.50 | $6.76 |
Where Missouri sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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
$38.02
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.