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 $67.61 Median $77.62 Typical High $144.54 | Facility | None | $67.61 | $77.62 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None | $67.61 | $67.61 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $363.08 | Facility | None | $79.43 | $79.43 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $81.28 Typical High $138.04 | Professional | None | $31.62 | $81.28 | $138.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $147.91 | Facility | None | $60.26 | $77.62 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $173.78 Typical High $223.87 | Facility | None | $52.48 | $173.78 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $74.13 Typical High $112.20 | Professional | None | $25.70 | $74.13 | $112.20 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $102.33 Typical High $371.54 | Facility | None | $58.88 | $102.33 | $371.54 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $93.33 | Professional | None | $33.11 | $46.77 | $93.33 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $102.33 | Professional | None | $33.11 | $46.77 | $102.33 |
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 $33.11 Median $33.88 Typical High $45.71 | Professional | 52 · Reduced service | $33.11 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | 53 · Discontinued | $13.49 | $13.49 | $18.20 |
Where Missouri sits
The same service costs 4.9 times more in Alaska than in Kansas. 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
$79.43
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.