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 $12.02 Median $19.50 Typical High $25.70 | Facility | None | $12.02 | $19.50 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.22 | Professional | None | $12.02 | $12.02 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $64.57 | Facility | None | $14.13 | $14.13 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $20.89 Typical High $35.48 | Professional | None | $6.92 | $20.89 | $35.48 |
BCBS Kansas City Setting Facility Modifier None Typical Low $20.89 Median $27.54 Typical High $52.48 | Facility | None | $20.89 | $27.54 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $30.90 Typical High $81.28 | Facility | None | $18.62 | $30.90 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $15.85 Typical High $29.51 | Professional | None | $8.13 | $15.85 | $29.51 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $27.54 Typical High $81.28 | Facility | None | $12.59 | $27.54 | $81.28 |
Medica Setting Professional Modifier None Typical Low $6.31 Median $10.00 Typical High $18.20 | Professional | None | $6.31 | $10.00 | $18.20 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $5.89 Median $10.47 Typical High $18.62 | Professional | None | $5.89 | $10.47 | $18.62 |
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 $5.89 Median $6.03 Typical High $8.13 | Professional | 52 · Reduced service | $5.89 | $6.03 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $3.24 | Professional | 53 · Discontinued | $2.40 | $2.40 | $3.24 |
Where Missouri sits
The same service costs 3.2 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· 12th of 51
$16.98
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.