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 $21.38 Median $32.36 Typical High $48.98 | Facility | None | $21.38 | $32.36 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $40.74 | Professional | None | $21.38 | $30.20 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $15.85 Typical High $46.77 | Professional | None | $5.01 | $15.85 | $46.77 |
BCBS Kansas City Setting Facility Modifier None Typical Low $39.81 Median $51.29 Typical High $97.72 | Facility | None | $39.81 | $51.29 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $23.44 Typical High $151.36 | Facility | None | $2.09 | $23.44 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $29.51 Typical High $39.81 | Professional | None | $10.96 | $29.51 | $39.81 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $58.88 Typical High $169.82 | Facility | None | $16.98 | $58.88 | $169.82 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $22.39 Typical High $38.90 | Professional | None | $13.18 | $22.39 | $38.90 |
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 $14.45 Median $22.39 Typical High $45.71 | Professional | None | $14.45 | $22.39 | $45.71 |
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 $10.72 Median $15.14 Typical High $20.42 | Professional | 52 · Reduced service | $10.72 | $15.14 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.03 Typical High $8.13 | Professional | 53 · Discontinued | $4.27 | $6.03 | $8.13 |
Where Missouri sits
The same service costs 8.5 times more in Alaska 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· 37th of 51
$22.91
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.