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 $21.88 Median $33.11 Typical High $46.77 | Facility | None | $21.88 | $33.11 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $26.92 | Professional | None | $21.88 | $22.39 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $117.49 | Facility | None | $25.70 | $25.70 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $35.48 Typical High $64.57 | Professional | None | $12.59 | $35.48 | $64.57 |
BCBS Kansas City Setting Facility Modifier None Typical Low $38.90 Median $51.29 Typical High $95.50 | Facility | None | $38.90 | $51.29 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $147.91 | Facility | None | $33.88 | $56.23 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $28.84 Typical High $53.70 | Professional | None | $14.79 | $28.84 | $53.70 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $44.67 Typical High $169.82 | Facility | None | $22.91 | $44.67 | $169.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $18.20 Typical High $30.90 | Professional | None | $11.48 | $18.20 | $30.90 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $10.72 Median $19.05 Typical High $34.67 | Professional | None | $10.72 | $19.05 | $34.67 |
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 $10.96 Median $10.96 Typical High $14.79 | Professional | 52 · Reduced service | $10.96 | $10.96 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $5.89 | Professional | 53 · Discontinued | $4.37 | $4.37 | $5.89 |
Where Missouri sits
The same service costs 3.2 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· 13th of 51
$30.90
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.