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 $53.70 Median $74.13 Typical High $114.82 | Facility | None | $53.70 | $74.13 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $75.86 | Professional | None | $52.48 | $60.26 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $288.40 | Facility | None | $61.66 | $61.66 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $112.20 | Professional | None | $31.62 | $46.77 | $112.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $213.80 | Facility | None | $109.65 | $114.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $138.04 Typical High $331.13 | Facility | None | $75.86 | $138.04 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $70.79 Typical High $89.13 | Professional | None | $32.36 | $70.79 | $89.13 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $114.82 Typical High $295.12 | Facility | None | $56.23 | $114.82 | $295.12 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $74.13 | Professional | None | $28.18 | $44.67 | $74.13 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $83.18 | Professional | None | $26.30 | $42.66 | $83.18 |
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 $26.30 Median $26.92 Typical High $35.48 | Professional | 52 · Reduced service | $26.30 | $26.92 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $14.45 | Professional | 53 · Discontinued | $10.47 | $10.72 | $14.45 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 35th of 51
$53.70
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.