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 $74.13 Median $112.20 Typical High $158.49 | Facility | None | $74.13 | $112.20 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $85.11 | Professional | None | $63.10 | $74.13 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $398.11 | Facility | None | $87.10 | $87.10 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $138.04 Typical High $218.78 | Professional | None | $42.66 | $138.04 | $218.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $331.13 | Facility | None | $131.83 | $173.78 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $190.55 Typical High $549.54 | Facility | None | $104.71 | $190.55 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $97.72 Typical High $162.18 | Professional | None | $48.98 | $97.72 | $162.18 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $151.36 Typical High $416.87 | Facility | None | $77.62 | $151.36 | $416.87 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $61.66 Typical High $109.65 | Professional | None | $38.90 | $61.66 | $109.65 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $36.31 Median $64.57 Typical High $117.49 | Professional | None | $36.31 | $64.57 | $117.49 |
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 $37.15 Median $37.15 Typical High $50.12 | Professional | 52 · Reduced service | $37.15 | $37.15 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $19.95 | Professional | 53 · Discontinued | $14.79 | $14.79 | $19.95 |
Where Missouri sits
The same service costs 4.1 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· 15th of 51
$105
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.