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 $20.89 Median $23.99 Typical High $44.67 | Facility | None | $20.89 | $23.99 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.18 | Professional | None | $20.89 | $20.89 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $112.20 | Facility | None | $24.55 | $24.55 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $26.92 Typical High $43.65 | Professional | None | $9.77 | $26.92 | $43.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $19.95 Median $26.30 Typical High $50.12 | Facility | None | $19.95 | $26.30 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $53.70 Typical High $74.13 | Facility | None | $17.38 | $53.70 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $23.44 Typical High $35.48 | Professional | None | $8.51 | $23.44 | $35.48 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $123.03 | Facility | None | $20.42 | $33.88 | $123.03 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $29.51 | Professional | None | $10.23 | $14.79 | $29.51 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $32.36 | Professional | None | $10.23 | $14.79 | $32.36 |
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 $10.47 Median $10.47 Typical High $14.13 | Professional | 52 · Reduced service | $10.47 | $10.47 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.62 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.62 |
Where Missouri sits
The same service costs 4.3 times more in Alaska than in New York. 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· 17th of 51
$25.12
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.