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 $12.88 Median $19.50 Typical High $30.90 | Facility | None | $12.88 | $19.50 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $16.22 | Professional | None | $12.88 | $13.18 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $69.18 | Facility | None | $15.14 | $15.14 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $7.41 Typical High $26.92 | Professional | None | $4.17 | $7.41 | $26.92 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5.13 Median $29.51 Typical High $56.23 | Facility | None | $5.13 | $29.51 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $33.11 Typical High $87.10 | Facility | None | $19.95 | $33.11 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $25.70 | Professional | None | $8.71 | $17.38 | $25.70 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $26.30 Typical High $144.54 | Facility | None | $12.30 | $26.30 | $144.54 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $19.05 | Professional | None | $6.31 | $10.00 | $19.05 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $20.42 | Professional | None | $6.31 | $9.12 | $20.42 |
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 $6.46 Median $6.46 Typical High $8.71 | Professional | 52 · Reduced service | $6.46 | $6.46 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.47 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.47 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 40th of 51
$12.30
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.