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 $15.85 Median $23.99 Typical High $34.67 | Facility | None | $15.85 | $23.99 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $18.20 | Professional | None | $12.59 | $15.85 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $85.11 | Facility | None | $18.62 | $18.62 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $13.80 Typical High $34.67 | Professional | None | $7.41 | $13.80 | $34.67 |
BCBS Kansas City Setting Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $51.29 | Facility | None | $25.70 | $28.84 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $41.69 Typical High $151.36 | Facility | None | $25.70 | $41.69 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $20.89 Typical High $26.92 | Professional | None | $8.13 | $20.89 | $26.92 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $32.36 Typical High $89.13 | Facility | None | $16.22 | $32.36 | $89.13 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $22.39 | Professional | None | $7.76 | $11.22 | $22.39 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $25.12 | Professional | None | $7.76 | $11.22 | $25.12 |
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 $7.94 Median $7.94 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.24 | $4.27 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 26th of 51
$15.85
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.