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 $104.71 Median $158.49 Typical High $223.87 | Facility | None | $104.71 | $158.49 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $141.25 | Professional | None | $95.50 | $104.71 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $562.34 | Facility | None | $123.03 | $123.03 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $223.87 | Professional | None | $91.20 | $117.49 | $223.87 |
BCBS Kansas City Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $234.42 | Professional | None | $85.11 | $151.36 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $269.15 Typical High $630.96 | Facility | None | $138.04 | $269.15 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $190.55 | Professional | None | $60.26 | $107.15 | $190.55 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $575.44 | Facility | None | $109.65 | $213.80 | $575.44 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $134.90 Typical High $616.60 | Professional | None | $61.66 | $134.90 | $616.60 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $165.96 | Professional | None | $51.29 | $74.13 | $165.96 |
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 $52.48 Median $52.48 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $28.18 | Professional | 53 · Discontinued | $20.89 | $20.89 | $28.18 |
Where Missouri sits
The same service costs 4.4 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· 30th of 51
$117
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.