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 $29.51 Median $58.88 Typical High $109.65 | Facility | None | $29.51 | $58.88 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | None | $51.29 | $51.29 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $275.42 | Facility | None | $60.26 | $60.26 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $107.15 | Professional | None | $23.44 | $34.67 | $107.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $63.10 | Facility | None | $25.70 | $33.11 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $102.33 Typical High $162.18 | Facility | None | $21.88 | $102.33 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $46.77 Typical High $79.43 | Professional | None | $10.96 | $46.77 | $79.43 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $72.44 Typical High $281.84 | Facility | None | $26.92 | $72.44 | $281.84 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $36.31 Typical High $72.44 | Professional | None | $14.13 | $36.31 | $72.44 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $14.13 Median $36.31 Typical High $79.43 | Professional | None | $14.13 | $36.31 | $79.43 |
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 $25.70 Median $25.70 Typical High $34.67 | Professional | 52 · Reduced service | $25.70 | $25.70 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $13.80 | Professional | 53 · Discontinued | $10.23 | $10.23 | $13.80 |
Where Missouri sits
The same service costs 8.7 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· 36th of 51
$36.31
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.