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 $40.74 Median $60.26 Typical High $87.10 | Facility | None | $40.74 | $60.26 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $40.74 Typical High $46.77 | Professional | None | $35.48 | $40.74 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $218.78 | Facility | None | $47.86 | $47.86 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $66.07 Typical High $93.33 | Professional | None | $23.44 | $66.07 | $93.33 |
BCBS Kansas City Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $112.20 | Facility | None | $44.67 | $57.54 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $104.71 Typical High $275.42 | Facility | None | $54.95 | $104.71 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $54.95 Typical High $69.18 | Professional | None | $25.12 | $54.95 | $69.18 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $83.18 Typical High $229.09 | Facility | None | $42.66 | $83.18 | $229.09 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $57.54 | Professional | None | $19.95 | $32.36 | $57.54 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $64.57 | Professional | None | $19.95 | $28.84 | $64.57 |
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 $20.42 Median $20.42 Typical High $27.54 | Professional | 52 · Reduced service | $20.42 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $10.96 | Professional | 53 · Discontinued | $8.13 | $8.13 | $10.96 |
Where Missouri sits
The same service costs 5.4 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· 13th of 51
$54.95
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.