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 $9.77 Median $17.78 Typical High $25.70 | Facility | None | $9.77 | $17.78 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $17.78 | Professional | None | $11.22 | $15.85 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $5.37 Typical High $24.55 | Professional | None | $3.98 | $5.37 | $24.55 |
BCBS Kansas City Setting Facility Modifier None Typical Low $3.16 Median $4.07 Typical High $7.76 | Facility | None | $3.16 | $4.07 | $7.76 |
BCBS Kansas City Setting Professional Modifier None Typical Low $3.89 Median $4.07 Typical High $4.90 | Professional | None | $3.89 | $4.07 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $1.26 Median $12.30 Typical High $79.43 | Facility | None | $1.26 | $12.30 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $13.18 Typical High $31.62 | Professional | None | $4.57 | $13.18 | $31.62 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $27.54 Typical High $457.09 | Facility | None | $10.00 | $27.54 | $457.09 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $125.89 Typical High $125.89 | Professional | None | $7.76 | $125.89 | $125.89 |
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 $7.76 Median $8.71 Typical High $19.95 | Professional | None | $7.76 | $8.71 | $19.95 |
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 $5.62 Median $7.94 Typical High $8.91 | Professional | 52 · Reduced service | $5.62 | $7.94 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.16 Typical High $3.55 | Professional | 53 · Discontinued | $2.29 | $3.16 | $3.55 |
Where Missouri sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 34th of 51
$11.22
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.