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 $75.86 Median $89.13 Typical High $128.82 | Facility | None | $75.86 | $89.13 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $89.13 | Professional | None | $56.23 | $79.43 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $46.77 Typical High $151.36 | Professional | None | $26.92 | $46.77 | $151.36 |
BCBS Kansas City Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $208.93 | Facility | None | $85.11 | $109.65 | $208.93 |
BCBS Kansas City Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $131.83 | Professional | None | $104.71 | $109.65 | $131.83 |
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 $32.36 Median $66.07 Typical High $158.49 | Professional | None | $32.36 | $66.07 | $158.49 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $138.04 Typical High $426.58 | Facility | None | $77.62 | $138.04 | $426.58 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $630.96 Typical High $630.96 | Professional | None | $38.90 | $630.96 | $630.96 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $100.00 | Professional | None | $38.90 | $43.65 | $100.00 |
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 $44.67 | Professional | 52 · Reduced service | $28.18 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.85 Typical High $17.78 | Professional | 53 · Discontinued | $11.22 | $15.85 | $17.78 |
Where Missouri sits
The same service costs 9.3 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· 29th of 51
$58.88
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.