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 $32.36 Median $48.98 Typical High $81.28 | Facility | None | $32.36 | $48.98 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $32.36 Typical High $36.31 | Professional | None | $10.47 | $32.36 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $173.78 | Facility | None | $38.02 | $38.02 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $13.80 Typical High $30.20 | Professional | None | $4.79 | $13.80 | $30.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $33.11 | Facility | None | $16.60 | $18.62 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $85.11 Typical High $309.03 | Facility | None | $50.12 | $85.11 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $44.67 | Professional | None | $16.60 | $18.20 | $44.67 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $66.07 Typical High $177.83 | Facility | None | $33.11 | $66.07 | $177.83 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $45.71 | Professional | None | $5.01 | $7.24 | $45.71 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $5.01 Median $12.30 Typical High $48.98 | Professional | None | $5.01 | $12.30 | $48.98 |
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 $16.22 Median $16.22 Typical High $21.88 | Professional | 52 · Reduced service | $16.22 | $16.22 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $8.71 | Professional | 53 · Discontinued | $6.46 | $6.46 | $8.71 |
Where Missouri sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 36th of 51
$17.38
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.