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 $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $8.91 Median $16.60 Typical High $45.71 | Professional | None (both parts) | $8.91 | $16.60 | $45.71 |
BCBS Kansas City Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $85.11 | Facility | None | $48.98 | $79.43 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.48 Median $26.92 Typical High $32.36 | Professional | None (both parts) | $11.48 | $26.92 | $32.36 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $112.20 Typical High $112.20 | Facility | None | $26.30 | $112.20 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $10.00 Median $13.80 Typical High $28.84 | Professional | None (both parts) | $10.00 | $13.80 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $9.77 Median $13.80 Typical High $30.90 | Professional | None (both parts) | $9.77 | $13.80 | $30.90 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $11.48 Typical High $11.75 | Professional | TC · Technical part | $10.47 | $11.48 | $11.75 |
Where Missouri sits
The same service costs 11.2 times more in Alaska than in Georgia. 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· 22nd of 51
$16.60
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.