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 $63.10 Median $72.44 Typical High $138.04 | Facility | None | $63.10 | $72.44 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $79.43 | Professional | None | $54.95 | $64.57 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None | $75.86 | $75.86 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $346.74 | Facility | None | $74.13 | $74.13 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $61.66 Typical High $134.90 | Professional | None | $37.15 | $61.66 | $134.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $141.25 Median $147.91 Typical High $275.42 | Facility | None | $141.25 | $147.91 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $165.96 Typical High $426.58 | Facility | None | $70.79 | $165.96 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $112.20 | Professional | None | $41.69 | $85.11 | $112.20 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $131.83 Typical High $354.81 | Facility | None | $67.61 | $131.83 | $354.81 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $93.33 | Professional | None | $33.88 | $53.70 | $93.33 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $100.00 | Professional | None | $31.62 | $54.95 | $100.00 |
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 $31.62 Median $32.36 Typical High $42.66 | Professional | 52 · Reduced service | $31.62 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.88 Typical High $17.38 | Professional | 53 · Discontinued | $12.59 | $12.88 | $17.38 |
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· 34th of 51
$63.10
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.