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 $30.90 Typical High $45.71 | Facility | None | $21.88 | $30.90 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $30.20 | Professional | None | $21.88 | $23.44 | $30.20 |
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 $34.67 Typical High $51.29 | Professional | None | $12.59 | $34.67 | $51.29 |
BCBS Kansas City Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $75.86 | Facility | None | $30.90 | $39.81 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $56.23 Typical High $144.54 | Facility | None | $33.11 | $56.23 | $144.54 |
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 $50.12 Typical High $120.23 | Facility | None | $22.91 | $50.12 | $120.23 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $18.20 Typical High $33.11 | Professional | None | $11.48 | $18.20 | $33.11 |
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 $33.88 | Professional | None | $10.72 | $19.05 | $33.88 |
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 $10.72 Median $10.96 Typical High $14.79 | Professional | 52 · Reduced service | $10.72 | $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 4.3 times more in South Carolina 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
$30.20
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.