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 $39.81 Median $60.26 Typical High $85.11 | Facility | None | $39.81 | $60.26 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $53.70 | Professional | None | $39.81 | $39.81 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $213.80 | Facility | None | $46.77 | $46.77 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $102.33 | Professional | None | $38.02 | $47.86 | $102.33 |
BCBS Kansas City Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $89.13 | Professional | None | $32.36 | $58.88 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $104.71 Typical High $245.47 | Facility | None | $40.74 | $104.71 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $52.48 Typical High $74.13 | Professional | None | $22.39 | $52.48 | $74.13 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $81.28 Typical High $223.87 | Facility | None | $41.69 | $81.28 | $223.87 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $50.12 Typical High $234.42 | Professional | None | $23.44 | $50.12 | $234.42 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $63.10 | Professional | None | $19.50 | $28.18 | $63.10 |
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 $19.95 Median $19.95 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $19.95 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | 53 · Discontinued | $7.94 | $7.94 | $10.72 |
Where Missouri sits
The same service costs 3.7 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· 26th of 51
$46.77
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.