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 $22.91 Median $26.30 Typical High $50.12 | Facility | None | $22.91 | $26.30 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $23.44 Typical High $28.84 | Professional | None | $13.80 | $23.44 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $125.89 | Facility | None | $26.92 | $26.92 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $48.98 | Professional | None | $10.96 | $18.62 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $60.26 Typical High $218.78 | Facility | None | $37.15 | $60.26 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $30.90 Typical High $38.90 | Professional | None | $11.75 | $30.90 | $38.90 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $46.77 Typical High $128.82 | Facility | None | $23.44 | $46.77 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $32.36 | Professional | None | $11.48 | $16.22 | $32.36 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $36.31 | Professional | None | $11.48 | $16.22 | $36.31 |
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 $11.48 Median $11.75 Typical High $15.49 | Professional | 52 · Reduced service | $11.48 | $11.75 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $6.31 | Professional | 53 · Discontinued | $4.57 | $4.68 | $6.31 |
Where Missouri sits
The same service costs 4.0 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· 26th of 51
$23.44
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.