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 $70.79 Median $107.15 Typical High $151.36 | Facility | None | $70.79 | $107.15 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | None | $70.79 | $70.79 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $380.19 | Facility | None | $83.18 | $83.18 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $109.65 Typical High $186.21 | Professional | None | $33.88 | $109.65 | $186.21 |
BCBS Kansas City Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $158.49 | Professional | None | $57.54 | $83.18 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $186.21 Typical High $346.74 | Facility | None | $67.61 | $186.21 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $79.43 Typical High $120.23 | Professional | None | $38.90 | $79.43 | $120.23 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $398.11 | Facility | None | $75.86 | $123.03 | $398.11 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $83.18 Typical High $416.87 | Professional | None | $41.69 | $83.18 | $416.87 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $112.20 | Professional | None | $34.67 | $50.12 | $112.20 |
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 $35.48 Median $35.48 Typical High $47.86 | Professional | 52 · Reduced service | $35.48 | $35.48 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $14.13 | $19.05 |
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· 16th of 51
$93.33
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.