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 $54.95 Median $89.13 Typical High $138.04 | Facility | None | $54.95 | $89.13 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $67.61 | Professional | None | $32.36 | $54.95 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $295.12 | Facility | None | $64.57 | $64.57 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $112.20 | Professional | None | $25.70 | $32.36 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $141.25 Typical High $223.87 | Facility | None | $56.23 | $141.25 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $61.66 Typical High $87.10 | Professional | None | $25.70 | $61.66 | $87.10 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $100.00 Typical High $302.00 | Facility | None | $56.23 | $100.00 | $302.00 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $77.62 | Professional | None | $26.92 | $38.90 | $77.62 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $83.18 | Professional | None | $26.92 | $38.90 | $83.18 |
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 $27.54 Median $27.54 Typical High $37.15 | Professional | 52 · Reduced service | $27.54 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $14.79 | Professional | 53 · Discontinued | $10.96 | $10.96 | $14.79 |
Where Missouri sits
The same service costs 6.0 times more in Alaska than in Alabama. 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
$48.98
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.