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 $30.20 Median $34.67 Typical High $64.57 | Facility | None | $30.20 | $34.67 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $33.88 | Professional | None | $30.20 | $32.36 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $162.18 | Facility | None | $35.48 | $35.48 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $17.38 Typical High $63.10 | Professional | None | $10.23 | $17.38 | $63.10 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.59 Median $70.79 Typical High $131.83 | Facility | None | $12.59 | $70.79 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $77.62 Typical High $204.17 | Facility | None | $46.77 | $77.62 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $39.81 Typical High $60.26 | Professional | None | $20.42 | $39.81 | $60.26 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $54.95 Typical High $213.80 | Facility | None | $29.51 | $54.95 | $213.80 |
Medica Setting Professional Modifier None Typical Low $14.79 Median $23.44 Typical High $44.67 | Professional | None | $14.79 | $23.44 | $44.67 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $14.79 Median $21.38 Typical High $47.86 | Professional | None | $14.79 | $21.38 | $47.86 |
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 $15.14 Median $15.14 Typical High $20.42 | Professional | 52 · Reduced service | $15.14 | $15.14 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $8.13 | Professional | 53 · Discontinued | $6.03 | $6.03 | $8.13 |
Where Missouri sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 47th of 51
$26.30
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.