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 $18.62 Median $28.18 Typical High $39.81 | Facility | None | $18.62 | $28.18 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $25.12 | Professional | None | $18.62 | $18.62 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $100.00 | Facility | None | $21.88 | $21.88 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $16.98 Typical High $43.65 | Professional | None | $8.71 | $16.98 | $43.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $61.66 | Facility | None | $31.62 | $34.67 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $47.86 Typical High $91.20 | Facility | None | $22.91 | $47.86 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $23.99 Typical High $30.90 | Professional | None | $9.33 | $23.99 | $30.90 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $33.11 Typical High $102.33 | Facility | None | $13.49 | $33.11 | $102.33 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $26.30 | Professional | None | $9.12 | $13.18 | $26.30 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $29.51 | Professional | None | $9.12 | $13.18 | $29.51 |
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 $9.33 Median $9.33 Typical High $12.59 | Professional | 52 · Reduced service | $9.33 | $9.33 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $5.01 | Professional | 53 · Discontinued | $3.72 | $3.72 | $5.01 |
Where Missouri sits
The same service costs 3.6 times more in Alaska than in Georgia. 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· 23rd of 51
$20.89
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.