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 $33.11 Median $46.77 Typical High $83.18 | Facility | None | $33.11 | $46.77 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $44.67 | Professional | None | $33.11 | $33.88 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $177.83 | Facility | None | $38.90 | $38.90 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $53.70 Typical High $97.72 | Professional | None | $19.05 | $53.70 | $97.72 |
BCBS Kansas City Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $144.54 | Facility | None | $58.88 | $77.62 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $223.87 | Facility | None | $51.29 | $85.11 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $43.65 Typical High $81.28 | Professional | None | $22.39 | $43.65 | $81.28 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $67.61 Typical High $181.97 | Facility | None | $34.67 | $67.61 | $181.97 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $46.77 | Professional | None | $17.38 | $27.54 | $46.77 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $16.22 Median $28.84 Typical High $52.48 | Professional | None | $16.22 | $28.84 | $52.48 |
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 $16.60 Median $16.60 Typical High $22.39 | Professional | 52 · Reduced service | $16.60 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.91 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.91 |
Where Missouri sits
The same service costs 4.7 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· 16th 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.