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 $81.28 Median $123.03 Typical High $177.83 | Facility | None | $81.28 | $123.03 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $93.33 | Professional | None | $70.79 | $81.28 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $436.52 | Facility | None | $95.50 | $95.50 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $169.82 | Professional | None | $39.81 | $66.07 | $169.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $151.36 Median $158.49 Typical High $302.00 | Facility | None | $151.36 | $158.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $457.09 | Facility | None | $114.82 | $208.93 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $107.15 Typical High $138.04 | Professional | None | $46.77 | $107.15 | $138.04 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $162.18 Typical High $457.09 | Facility | None | $85.11 | $162.18 | $457.09 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $114.82 | Professional | None | $39.81 | $66.07 | $114.82 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $128.82 | Professional | None | $39.81 | $60.26 | $128.82 |
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 $40.74 Median $40.74 Typical High $54.95 | Professional | 52 · Reduced service | $40.74 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $21.88 | Professional | 53 · Discontinued | $16.22 | $16.60 | $21.88 |
Where Missouri sits
The same service costs 5.4 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· 37th of 51
$75.86
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.