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 $38.90 | Facility | None | $18.20 | $27.54 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $24.55 | Professional | None | $18.20 | $18.20 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $97.72 | Facility | None | $21.38 | $21.38 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $26.92 Typical High $41.69 | Professional | None | $9.33 | $26.92 | $41.69 |
BCBS Setting Facility Modifier None Typical Low $28.84 Median $38.02 Typical High $72.44 | Facility | None | $28.84 | $38.02 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $109.65 | Facility | None | $25.12 | $46.77 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $23.99 Typical High $40.74 | Professional | None | $11.22 | $23.99 | $40.74 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $37.15 Typical High $100.00 | Facility | None | $19.05 | $37.15 | $100.00 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $25.70 | Professional | None | $9.55 | $15.14 | $25.70 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $28.84 | Professional | None | $8.91 | $14.13 | $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 $9.12 Typical High $12.30 | Professional | 52 · Reduced service | $9.12 | $9.12 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.90 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.90 |
Where Missouri sits
The same service costs 3.4 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· 17th 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.