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 $28.84 Median $43.65 Typical High $63.10 | Facility | None | $28.84 | $43.65 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $33.11 | Professional | None | $28.84 | $29.51 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $158.49 | Facility | None | $33.88 | $33.88 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $20.89 Typical High $61.66 | Professional | None | $14.13 | $20.89 | $61.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $48.98 Median $53.70 Typical High $95.50 | Facility | None | $48.98 | $53.70 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $67.61 Typical High $177.83 | Facility | None | $35.48 | $67.61 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $38.02 Typical High $48.98 | Professional | None | $14.79 | $38.02 | $48.98 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $58.88 Typical High $162.18 | Facility | None | $29.51 | $58.88 | $162.18 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $40.74 | Professional | None | $14.45 | $20.89 | $40.74 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $45.71 | Professional | None | $14.45 | $20.89 | $45.71 |
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 $14.45 Median $14.79 Typical High $19.50 | Professional | 52 · Reduced service | $14.45 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $7.94 | Professional | 53 · Discontinued | $5.75 | $5.89 | $7.94 |
Where Missouri sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 27th of 51
$28.84
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.