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 $24.55 Median $37.15 Typical High $53.70 | Facility | None | $24.55 | $37.15 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $30.90 | Professional | None | $22.91 | $25.12 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $134.90 | Facility | None | $28.84 | $28.84 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $36.31 Typical High $66.07 | Professional | None | $12.30 | $36.31 | $66.07 |
BCBS Kansas City Setting Facility Modifier None Typical Low $38.02 Median $50.12 Typical High $95.50 | Facility | None | $38.02 | $50.12 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $64.57 Typical High $144.54 | Facility | None | $33.11 | $64.57 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $33.11 Typical High $53.70 | Professional | None | $14.45 | $33.11 | $53.70 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $50.12 Typical High $138.04 | Facility | None | $26.30 | $50.12 | $138.04 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $20.89 Typical High $34.67 | Professional | None | $12.30 | $20.89 | $34.67 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $38.90 | Professional | None | $12.30 | $18.62 | $38.90 |
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 $12.30 Median $12.59 Typical High $16.60 | Professional | 52 · Reduced service | $12.30 | $12.59 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $6.76 | Professional | 53 · Discontinued | $4.90 | $5.01 | $6.76 |
Where Missouri sits
The same service costs 3.5 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
$33.11
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.