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 $74.13 Median $114.82 Typical High $162.18 | Facility | None | $74.13 | $114.82 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $102.33 | Professional | None | $64.57 | $75.86 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $407.38 | Facility | None | $89.13 | $89.13 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $158.49 | Professional | None | $54.95 | $74.13 | $158.49 |
BCBS Kansas City Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $239.88 | Facility | None | $123.03 | $134.90 | $239.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $165.96 | Professional | None | $61.66 | $89.13 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $186.21 Typical High $281.84 | Facility | None | $66.07 | $186.21 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $114.82 | Professional | None | $41.69 | $85.11 | $114.82 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $154.88 Typical High $416.87 | Facility | None | $79.43 | $154.88 | $416.87 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $91.20 Typical High $436.52 | Professional | None | $43.65 | $91.20 | $436.52 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $117.49 | Professional | None | $37.15 | $52.48 | $117.49 |
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 $37.15 Median $38.02 Typical High $51.29 | Professional | 52 · Reduced service | $37.15 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $15.14 | $20.42 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 27th of 51
$85.11
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.