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 $18.20 Median $25.70 Typical High $64.57 | Facility | None | $18.20 | $25.70 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None (both parts) | $18.20 | $18.20 | $18.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.59 Median $12.88 Typical High $23.99 | Professional | None (both parts) | $7.59 | $12.88 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $41.69 Typical High $151.36 | Facility | None | $25.70 | $41.69 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | None (both parts) | $21.38 | $21.38 | $26.92 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $89.13 | Facility | None | $16.22 | $33.11 | $89.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $7.76 Median $11.22 Typical High $22.39 | Professional | None (both parts) | $7.76 | $11.22 | $22.39 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $11.22 Typical High $25.12 | Professional | None (both parts) | $7.76 | $11.22 | $25.12 |
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 $15.85 Median $16.22 Typical High $19.95 | Professional | 26 · Professional part | $15.85 | $16.22 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.24 | $4.27 |
Where Missouri sits
The same service costs 10.5 times more in Alaska than in Alabama. 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
$13.80
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.