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 $117.49 Median $177.83 Typical High $251.19 | Facility | None | $117.49 | $177.83 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | None | $117.49 | $117.49 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $630.96 | Facility | None | $138.04 | $138.04 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $257.04 | Professional | None | $81.28 | $131.83 | $257.04 |
BCBS Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $371.54 | Facility | None | $190.55 | $213.80 | $371.54 |
BCBS Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $263.03 | Professional | None | $95.50 | $138.04 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $302.00 Typical High $707.95 | Facility | None | $141.25 | $302.00 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $177.83 | Professional | None | $58.88 | $107.15 | $177.83 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $239.88 Typical High $645.65 | Facility | None | $123.03 | $239.88 | $645.65 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $691.83 | Professional | None | $69.18 | $141.25 | $691.83 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $186.21 | Professional | None | $57.54 | $81.28 | $186.21 |
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 $58.88 Median $58.88 Typical High $79.43 | Professional | 52 · Reduced service | $58.88 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $31.62 | Professional | 53 · Discontinued | $23.44 | $23.44 | $31.62 |
Where Missouri sits
The same service costs 5.5 times more in Texas 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· 27th of 51
$132
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.