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 $24.55 Median $37.15 Typical High $56.23 | Facility | None | $24.55 | $37.15 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $38.90 | Professional | None | $23.99 | $33.11 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | None | $32.36 | $35.48 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $63.10 | Professional | None | $18.20 | $19.05 | $63.10 |
BCBS Kansas City Setting Facility Modifier None Typical Low $33.11 Median $42.66 Typical High $81.28 | Facility | None | $33.11 | $42.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $26.92 Typical High $173.78 | Facility | None | $2.82 | $26.92 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $34.67 Typical High $45.71 | Professional | None | $13.18 | $34.67 | $45.71 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $67.61 Typical High $186.21 | Facility | None | $28.84 | $67.61 | $186.21 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $44.67 | Professional | None | $16.60 | $25.70 | $44.67 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,122.02 | $1,202.26 |
United Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $53.70 | Professional | None | $16.60 | $25.70 | $53.70 |
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 $12.30 Median $17.38 Typical High $23.44 | Professional | 52 · Reduced service | $12.30 | $17.38 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.92 Typical High $9.33 | Professional | 53 · Discontinued | $5.01 | $6.92 | $9.33 |
Where Missouri sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 38th of 51
$26.30
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.