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 $43.65 Median $66.07 Typical High $93.33 | Facility | None | $43.65 | $66.07 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $58.88 | Professional | None | $43.65 | $48.98 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $234.42 | Facility | None | $51.29 | $51.29 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $91.20 | Professional | None | $30.90 | $46.77 | $91.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $138.04 | Facility | None | $70.79 | $79.43 | $138.04 |
BCBS Kansas City Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $97.72 | Professional | None | $35.48 | $51.29 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $114.82 Typical High $251.19 | Facility | None | $61.66 | $114.82 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $48.98 Typical High $66.07 | Professional | None | $23.99 | $48.98 | $66.07 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $89.13 Typical High $239.88 | Facility | None | $45.71 | $89.13 | $239.88 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $52.48 Typical High $263.03 | Professional | None | $25.70 | $52.48 | $263.03 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $69.18 | Professional | None | $21.38 | $30.90 | $69.18 |
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 $21.88 Median $21.88 Typical High $29.51 | Professional | 52 · Reduced service | $21.88 | $21.88 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $11.75 | Professional | 53 · Discontinued | $8.71 | $8.71 | $11.75 |
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· 34th of 51
$48.98
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.