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 $15.49 Median $23.99 Typical High $33.88 | Facility | None | $15.49 | $23.99 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.85 Typical High $19.50 | Professional | None (both parts) | $15.49 | $15.85 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $12.59 Typical High $25.12 | Professional | None (both parts) | $9.33 | $12.59 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $40.74 Typical High $147.91 | Facility | None | $25.12 | $40.74 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | None (both parts) | $20.89 | $20.89 | $26.30 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $32.36 Typical High $87.10 | Facility | None | $15.85 | $32.36 | $87.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.96 Typical High $21.88 | Professional | None (both parts) | $7.76 | $10.96 | $21.88 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.96 Typical High $24.55 | Professional | None (both parts) | $7.76 | $10.96 | $24.55 |
3 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 26 · Professional part Typical Low $15.49 Median $15.85 Typical High $19.50 | Professional | 26 · Professional part | $15.49 | $15.85 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.94 Typical High $10.47 | Professional | 52 · Reduced service | $7.76 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.16 | $4.27 |
Where Missouri sits
The same service costs 4.0 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· 29th of 51
$15.49
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.