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 $97.72 Median $147.91 Typical High $208.93 | Facility | None | $97.72 | $147.91 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $97.72 | $112.20 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $79.43 Typical High $154.88 | Professional | None (both parts) | $31.62 | $79.43 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $933.25 | Facility | None | $158.49 | $257.04 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $131.83 | $131.83 | $165.96 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $346.74 Typical High $549.54 | Facility | None | $100.00 | $346.74 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $47.86 | $69.18 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $154.88 | Professional | None (both parts) | $47.86 | $69.18 | $154.88 |
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 $97.72 Median $97.72 Typical High $120.23 | Professional | 26 · Professional part | $97.72 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | 52 · Reduced service | $48.98 | $48.98 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $19.50 | $26.30 |
Where Missouri sits
The same service costs 8.1 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· 30th of 51
$87.10
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.