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 $46.77 Median $72.44 Typical High $102.33 | Facility | None | $46.77 | $72.44 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $64.57 | Professional | None | $46.77 | $47.86 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $257.04 | Facility | None | $54.95 | $54.95 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $100.00 | Professional | None | $22.39 | $31.62 | $100.00 |
BCBS Kansas City Setting Facility Modifier None Typical Low $77.62 Median $85.11 Typical High $151.36 | Facility | None | $77.62 | $85.11 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $123.03 Typical High $281.84 | Facility | None | $69.18 | $123.03 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $63.10 Typical High $79.43 | Professional | None | $26.30 | $63.10 | $79.43 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $263.03 | Facility | None | $50.12 | $97.72 | $263.03 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $66.07 | Professional | None | $23.44 | $33.11 | $66.07 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $74.13 | Professional | None | $23.44 | $33.11 | $74.13 |
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 $23.44 Median $23.99 Typical High $31.62 | Professional | 52 · Reduced service | $23.44 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.55 Typical High $12.88 | Professional | 53 · Discontinued | $9.33 | $9.55 | $12.88 |
Where Missouri sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 30th of 51
$46.77
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.