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 $33.11 Median $38.02 Typical High $72.44 | Facility | None | $33.11 | $38.02 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $44.67 | Professional | None | $33.11 | $33.88 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $181.97 | Facility | None | $38.90 | $38.90 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $40.74 Typical High $61.66 | Professional | None | $15.49 | $40.74 | $61.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $74.13 | Facility | None | $29.51 | $38.90 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $85.11 Typical High $112.20 | Facility | None | $25.70 | $85.11 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $37.15 Typical High $56.23 | Professional | None | $12.88 | $37.15 | $56.23 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $51.29 Typical High $186.21 | Facility | None | $30.20 | $51.29 | $186.21 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $23.44 Typical High $46.77 | Professional | None | $16.22 | $23.44 | $46.77 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $16.22 Median $23.44 Typical High $51.29 | Professional | None | $16.22 | $23.44 | $51.29 |
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 $16.60 Median $16.60 Typical High $22.39 | Professional | 52 · Reduced service | $16.60 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $8.91 | Professional | 53 · Discontinued | $6.61 | $6.76 | $8.91 |
Where Missouri sits
The same service costs 4.3 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· 17th of 51
$38.90
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.