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 $54.95 Median $83.18 Typical High $117.49 | Facility | None | $54.95 | $83.18 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | None | $54.95 | $54.95 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $295.12 | Facility | None | $64.57 | $64.57 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $114.82 | Professional | None | $39.81 | $53.70 | $114.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $173.78 | Facility | None | $89.13 | $100.00 | $173.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $120.23 | Professional | None | $44.67 | $64.57 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $144.54 Typical High $204.17 | Facility | None | $52.48 | $144.54 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $83.18 | Professional | None | $30.20 | $60.26 | $83.18 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $112.20 Typical High $302.00 | Facility | None | $57.54 | $112.20 | $302.00 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $66.07 Typical High $316.23 | Professional | None | $31.62 | $66.07 | $316.23 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $85.11 | Professional | None | $26.92 | $38.02 | $85.11 |
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 $26.92 Median $27.54 Typical High $37.15 | Professional | 52 · Reduced service | $26.92 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $14.79 | Professional | 53 · Discontinued | $10.96 | $10.96 | $14.79 |
Where Missouri sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 32nd of 51
$61.66
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.