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 $29.51 Median $44.67 Typical High $64.57 | Facility | None | $29.51 | $44.67 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $30.20 Typical High $37.15 | Professional | None | $29.51 | $30.20 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $162.18 | Facility | None | $34.67 | $34.67 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $63.10 | Professional | None | $20.89 | $31.62 | $63.10 |
BCBS Kansas City Setting Facility Modifier None Typical Low $48.98 Median $53.70 Typical High $95.50 | Facility | None | $48.98 | $53.70 | $95.50 |
BCBS Kansas City Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $66.07 | Professional | None | $24.55 | $34.67 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $77.62 Typical High $275.42 | Facility | None | $47.86 | $77.62 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $33.11 Typical High $45.71 | Professional | None | $16.60 | $33.11 | $45.71 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $60.26 Typical High $165.96 | Facility | None | $31.62 | $60.26 | $165.96 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $36.31 Typical High $173.78 | Professional | None | $17.38 | $36.31 | $173.78 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $46.77 | Professional | None | $14.79 | $20.89 | $46.77 |
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 $14.79 Median $15.14 Typical High $19.95 | Professional | 52 · Reduced service | $14.79 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.03 Typical High $8.13 | Professional | 53 · Discontinued | $5.89 | $6.03 | $8.13 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in New Mexico. 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· 30th of 51
$33.88
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.