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 $48.98 Median $74.13 Typical High $104.71 | Facility | None | $48.98 | $74.13 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $66.07 | Professional | None | $48.98 | $54.95 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $263.03 | Facility | None | $57.54 | $57.54 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $102.33 | Professional | None | $33.88 | $52.48 | $102.33 |
BCBS Kansas City Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $154.88 | Facility | None | $79.43 | $89.13 | $154.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $107.15 | Professional | None | $39.81 | $57.54 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $128.82 Typical High $316.23 | Facility | None | $77.62 | $128.82 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $74.13 | Professional | None | $26.92 | $53.70 | $74.13 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $269.15 | Facility | None | $51.29 | $100.00 | $269.15 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $58.88 Typical High $288.40 | Professional | None | $28.84 | $58.88 | $288.40 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $75.86 | Professional | None | $23.99 | $33.88 | $75.86 |
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 $23.99 Median $24.55 Typical High $33.11 | Professional | 52 · Reduced service | $23.99 | $24.55 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $13.18 | Professional | 53 · Discontinued | $9.77 | $9.77 | $13.18 |
Where Missouri sits
The same service costs 3.4 times more in Alaska 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
$54.95
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.