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 $30.90 Median $46.77 Typical High $67.61 | Facility | None | $30.90 | $46.77 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $38.90 | Professional | None | $30.90 | $31.62 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $169.82 | Facility | None | $36.31 | $36.31 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $34.67 Typical High $66.07 | Professional | None | $21.88 | $34.67 | $66.07 |
BCBS Kansas City Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $100.00 | Facility | None | $51.29 | $56.23 | $100.00 |
BCBS Kansas City Setting Professional Modifier None Typical Low $25.70 Median $36.31 Typical High $69.18 | Professional | None | $25.70 | $36.31 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $81.28 Typical High $117.49 | Facility | None | $29.51 | $81.28 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $34.67 Typical High $47.86 | Professional | None | $17.38 | $34.67 | $47.86 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $173.78 | Facility | None | $33.11 | $63.10 | $173.78 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $38.02 Typical High $181.97 | Professional | None | $18.20 | $38.02 | $181.97 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $48.98 | Professional | None | $15.49 | $21.88 | $48.98 |
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 $15.49 Median $15.85 Typical High $20.89 | Professional | 52 · Reduced service | $15.49 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $8.51 | Professional | 53 · Discontinued | $6.17 | $6.31 | $8.51 |
Where Missouri sits
The same service costs 3.5 times more in California than in Nebraska. 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· 34th of 51
$35.48
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.