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 $61.66 Median $89.13 Typical High $128.82 | Facility | None | $61.66 | $89.13 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $107.15 | Professional | None | $56.23 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $144.54 | Professional | None | $32.36 | $41.69 | $144.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $81.28 Median $107.15 Typical High $204.17 | Facility | None | $81.28 | $107.15 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $63.10 Typical High $398.11 | Facility | None | $6.46 | $63.10 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $79.43 Typical High $104.71 | Professional | None | $29.51 | $79.43 | $104.71 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $165.96 Typical High $426.58 | Facility | None | $52.48 | $165.96 | $426.58 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $104.71 | Professional | None | $38.02 | $58.88 | $104.71 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $562.34 | Facility | None | $537.03 | $537.03 | $562.34 |
United Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $123.03 | Professional | None | $38.90 | $58.88 | $123.03 |
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 $28.18 Median $39.81 Typical High $53.70 | Professional | 52 · Reduced service | $28.18 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.85 Typical High $21.38 | Professional | 53 · Discontinued | $11.22 | $15.85 | $21.38 |
Where Missouri sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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· 40th of 51
$63.10
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.