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 $93.33 Median $141.25 Typical High $199.53 | Facility | None | $93.33 | $141.25 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $114.82 | Professional | None | $79.43 | $93.33 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $501.19 | Facility | None | $109.65 | $109.65 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $199.53 | Professional | None | $91.20 | $104.71 | $199.53 |
BCBS Kansas City Setting Professional Modifier None Typical Low $75.86 Median $147.91 Typical High $208.93 | Professional | None | $75.86 | $147.91 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $245.47 Typical High $616.60 | Facility | None | $102.33 | $245.47 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $123.03 Typical High $190.55 | Professional | None | $52.48 | $123.03 | $190.55 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $512.86 | Facility | None | $97.72 | $190.55 | $512.86 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $120.23 Typical High $549.54 | Professional | None | $54.95 | $120.23 | $549.54 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $147.91 | Professional | None | $45.71 | $66.07 | $147.91 |
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 $46.77 Median $46.77 Typical High $63.10 | Professional | 52 · Reduced service | $46.77 | $46.77 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $18.62 | $25.12 |
Where Missouri sits
The same service costs 3.9 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· 31st of 51
$105
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.