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 $50.12 Median $75.86 Typical High $107.15 | Facility | None | $50.12 | $75.86 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | None | $50.12 | $50.12 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $269.15 | Facility | None | $58.88 | $58.88 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $53.70 Typical High $104.71 | Professional | None | $35.48 | $53.70 | $104.71 |
BCBS Kansas City Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $158.49 | Facility | None | $81.28 | $91.20 | $158.49 |
BCBS Kansas City Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $112.20 | Professional | None | $40.74 | $58.88 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $131.83 Typical High $186.21 | Facility | None | $47.86 | $131.83 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $56.23 Typical High $75.86 | Professional | None | $27.54 | $56.23 | $75.86 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $102.33 Typical High $275.42 | Facility | None | $52.48 | $102.33 | $275.42 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $60.26 Typical High $295.12 | Professional | None | $29.51 | $60.26 | $295.12 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $79.43 | Professional | None | $24.55 | $35.48 | $79.43 |
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 $25.12 Median $25.12 Typical High $33.88 | Professional | 52 · Reduced service | $25.12 | $25.12 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $13.49 | Professional | 53 · Discontinued | $10.00 | $10.00 | $13.49 |
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· 35th of 51
$56.23
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.