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 $60.26 Median $79.43 Typical High $218.78 | Facility | None | $60.26 | $79.43 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $79.43 Typical High $741.31 | Professional | None | $39.81 | $79.43 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $1,047.13 | Professional | None | $190.55 | $436.52 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $41.69 | Professional | None | $32.36 | $33.11 | $41.69 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $1,000.00 Typical High $1,000.00 | Facility | None | $91.20 | $1,000.00 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,862.09 Typical High $3,630.78 | Professional | None | $954.99 | $1,862.09 | $3,630.78 |
United Setting Professional Modifier None Typical Low $208.93 Median $1,122.02 Typical High $1,621.81 | Professional | None | $208.93 | $1,122.02 | $1,621.81 |
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 $19.95 Median $39.81 Typical High $371.54 | Professional | 52 · Reduced service | $19.95 | $39.81 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $31.62 Typical High $186.21 | Professional | 53 · Discontinued | $15.85 | $31.62 | $186.21 |
Where Missouri sits
The same service costs 120.2 times more in North Carolina than in New York. 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· 20th of 51
$955
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.