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 $165.96 Typical High $234.42 | Facility | None | $107.15 | $165.96 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $134.90 | Professional | None | $107.15 | $109.65 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $588.84 | Facility | None | $128.82 | $128.82 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $245.47 | Professional | None | $107.15 | $131.83 | $245.47 |
BCBS Kansas City Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $239.88 | Professional | None | $89.13 | $151.36 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $281.84 Typical High $630.96 | Facility | None | $104.71 | $281.84 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $144.54 Typical High $194.98 | Professional | None | $60.26 | $144.54 | $194.98 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $223.87 Typical High $602.56 | Facility | None | $114.82 | $223.87 | $602.56 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $134.90 Typical High $630.96 | Professional | None | $63.10 | $134.90 | $630.96 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $169.82 | Professional | None | $53.70 | $75.86 | $169.82 |
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 $53.70 Median $54.95 Typical High $72.44 | Professional | 52 · Reduced service | $53.70 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $29.51 | Professional | 53 · Discontinued | $21.88 | $21.88 | $29.51 |
Where Missouri sits
The same service costs 4.6 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· 29th of 51
$129
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.