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 $19.95 Median $29.51 Typical High $47.86 | Facility | None | $19.95 | $29.51 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $22.39 | Professional | None | $19.50 | $19.95 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $104.71 | Facility | None | $22.91 | $22.91 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $31.62 Typical High $57.54 | Professional | None | $11.22 | $31.62 | $57.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $34.67 Median $45.71 Typical High $87.10 | Facility | None | $34.67 | $45.71 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $131.83 | Facility | None | $30.20 | $50.12 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $26.30 Typical High $48.98 | Professional | None | $13.18 | $26.30 | $48.98 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $57.54 Typical High $154.88 | Facility | None | $20.42 | $57.54 | $154.88 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $28.84 | Professional | None | $10.23 | $16.22 | $28.84 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $9.55 Median $16.98 Typical High $30.90 | Professional | None | $9.55 | $16.98 | $30.90 |
3 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 $9.77 Median $9.77 Typical High $13.18 | Professional | 52 · Reduced service | $9.77 | $9.77 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.98 Typical High $5.25 | Professional | 53 · Discontinued | $3.89 | $3.98 | $5.25 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 90 · Outside lab | $37.15 | $37.15 | $37.15 |
Where Missouri sits
The same service costs 6.6 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· 14th of 51
$27.54
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.