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 $58.88 Median $89.13 Typical High $128.82 | Facility | None | $58.88 | $89.13 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $69.18 | Professional | None | $58.88 | $67.61 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $323.59 | Facility | None | $69.18 | $69.18 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $44.67 Typical High $125.89 | Professional | None | $27.54 | $44.67 | $125.89 |
BCBS Kansas City Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $190.55 | Facility | None | $95.50 | $107.15 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $154.88 Typical High $309.03 | Facility | None | $75.86 | $154.88 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $79.43 Typical High $100.00 | Professional | None | $33.11 | $79.43 | $100.00 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $120.23 Typical High $331.13 | Facility | None | $63.10 | $120.23 | $331.13 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $83.18 | Professional | None | $29.51 | $41.69 | $83.18 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $93.33 | Professional | None | $29.51 | $41.69 | $93.33 |
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 $29.51 Median $30.20 Typical High $39.81 | Professional | 52 · Reduced service | $29.51 | $30.20 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.02 Typical High $15.85 | Professional | 53 · Discontinued | $11.75 | $12.02 | $15.85 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$58.88
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.