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 $18.20 Median $27.54 Typical High $39.81 | Facility | None | $18.20 | $27.54 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $21.38 | Professional | None | $18.20 | $20.89 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $100.00 | Facility | None | $21.38 | $21.38 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $33.88 Typical High $54.95 | Professional | None | $10.72 | $33.88 | $54.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $21.88 Median $28.84 Typical High $54.95 | Facility | None | $21.88 | $28.84 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $47.86 Typical High $123.03 | Facility | None | $28.18 | $47.86 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $23.99 Typical High $45.71 | Professional | None | $12.59 | $23.99 | $45.71 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $37.15 Typical High $190.55 | Facility | None | $19.50 | $37.15 | $190.55 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $26.92 | Professional | None | $9.77 | $15.14 | $26.92 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.85 Typical High $28.84 | Professional | None | $9.12 | $15.85 | $28.84 |
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 $9.12 Median $9.33 Typical High $12.30 | Professional | 52 · Reduced service | $9.12 | $9.33 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $4.90 | Professional | 53 · Discontinued | $3.63 | $3.72 | $4.90 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in Texas. 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· 13th of 51
$25.70
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.