How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $19.95 Median $19.95 Typical High $38.90 | Facility | None | $19.95 | $19.95 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $38.90 | Professional | None | $14.79 | $19.95 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $109.65 Typical High $144.54 | Professional | None | $42.66 | $109.65 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $208.93 Typical High $208.93 | Professional | None | $54.95 | $208.93 | $208.93 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $158.49 | Facility | None | $30.20 | $57.54 | $158.49 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $144.54 Typical High $245.47 | Professional | None | $48.98 | $144.54 | $245.47 |
United Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $147.91 | Professional | None | $45.71 | $79.43 | $147.91 |
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 $7.41 Median $10.00 Typical High $19.50 | Professional | 52 · Reduced service | $7.41 | $10.00 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.98 Typical High $7.76 | Professional | 53 · Discontinued | $2.95 | $3.98 | $7.76 |
Where Missouri sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 6th of 51
$110
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.