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 $107.15 Median $173.78 Typical High $269.15 | Facility | None | $107.15 | $173.78 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | None | $107.15 | $107.15 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $575.44 | Facility | None | $125.89 | $125.89 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $223.87 | Professional | None | $74.13 | $120.23 | $223.87 |
BCBS Kansas City Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $338.84 | Facility | None | $173.78 | $177.83 | $338.84 |
BCBS Kansas City Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $239.88 | Professional | None | $87.10 | $125.89 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $281.84 Typical High $524.81 | Facility | None | $102.33 | $281.84 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $162.18 | Professional | None | $53.70 | $97.72 | $162.18 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $891.25 | Facility | None | $112.20 | $181.97 | $891.25 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $128.82 Typical High $630.96 | Professional | None | $63.10 | $128.82 | $630.96 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $165.96 | Professional | None | $52.48 | $74.13 | $165.96 |
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 $52.48 Median $53.70 Typical High $72.44 | Professional | 52 · Reduced service | $52.48 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $21.38 | $28.84 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 28th of 51
$120
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.