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 $23.99 Median $36.31 Typical High $51.29 | Facility | None | $23.99 | $36.31 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $26.92 | Professional | None | $23.99 | $25.70 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $128.82 | Facility | None | $28.18 | $28.18 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $19.50 Typical High $51.29 | Professional | None | $11.22 | $19.50 | $51.29 |
BCBS Kansas City Setting Facility Modifier None Typical Low $38.90 Median $43.65 Typical High $75.86 | Facility | None | $38.90 | $43.65 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $63.10 Typical High $229.09 | Facility | None | $38.90 | $63.10 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $31.62 Typical High $39.81 | Professional | None | $12.30 | $31.62 | $39.81 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $48.98 Typical High $131.83 | Facility | None | $25.12 | $48.98 | $131.83 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $33.88 | Professional | None | $11.75 | $16.60 | $33.88 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $37.15 | Professional | None | $11.75 | $16.60 | $37.15 |
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 $11.75 Median $12.02 Typical High $16.22 | Professional | 52 · Reduced service | $11.75 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.46 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.46 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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
$24.55
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.