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 $123.03 Median $173.78 Typical High $269.15 | Facility | None | $123.03 | $173.78 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $154.88 | Professional | None | $107.15 | $125.89 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $676.08 | Facility | None | $144.54 | $144.54 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $120.23 Typical High $263.03 | Professional | None | $61.66 | $120.23 | $263.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $275.42 | Professional | None | $102.33 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $323.59 Typical High $831.76 | Facility | None | $138.04 | $323.59 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $165.96 Typical High $251.19 | Professional | None | $69.18 | $165.96 | $251.19 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $691.83 | Facility | None | $131.83 | $251.19 | $691.83 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $162.18 Typical High $724.44 | Professional | None | $72.44 | $162.18 | $724.44 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $194.98 | Professional | None | $60.26 | $87.10 | $194.98 |
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 $61.66 Median $61.66 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $61.66 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $25.12 | $33.11 |
Where Missouri sits
The same service costs 4.9 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· 28th of 51
$138
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.