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 $79.43 Median $112.20 Typical High $169.82 | Facility | None | $79.43 | $112.20 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $104.71 | Professional | None | $67.61 | $79.43 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $426.58 | Facility | None | $91.20 | $91.20 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $169.82 | Professional | None | $56.23 | $83.18 | $169.82 |
BCBS Kansas City Setting Professional Modifier None Typical Low $64.57 Median $125.89 Typical High $173.78 | Professional | None | $64.57 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $524.81 | Facility | None | $87.10 | $204.17 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $104.71 Typical High $158.49 | Professional | None | $43.65 | $104.71 | $158.49 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $158.49 Typical High $436.52 | Facility | None | $83.18 | $158.49 | $436.52 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $457.09 | Professional | None | $45.71 | $102.33 | $457.09 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $123.03 | Professional | None | $38.90 | $54.95 | $123.03 |
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 $38.90 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $38.90 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $20.89 | Professional | 53 · Discontinued | $15.49 | $15.85 | $20.89 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 29th of 51
$89.13
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.