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 $15.14 Median $26.30 Typical High $42.66 | Facility | None | $15.14 | $26.30 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $26.30 | Professional | None | $16.60 | $23.44 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $7.94 Typical High $38.02 | Professional | None | $6.03 | $7.94 | $38.02 |
BCBS Kansas City Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $229.09 | Facility | None | $91.20 | $120.23 | $229.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $141.25 | Professional | None | $112.20 | $117.49 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $18.62 Typical High $117.49 | Facility | None | $1.86 | $18.62 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $19.50 Typical High $46.77 | Professional | None | $7.59 | $19.50 | $46.77 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $40.74 Typical High $158.49 | Facility | None | $15.85 | $40.74 | $158.49 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $186.21 Typical High $186.21 | Professional | None | $11.48 | $186.21 | $186.21 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $194.98 | Facility | None | $186.21 | $186.21 | $194.98 |
United Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $29.51 | Professional | None | $11.48 | $12.59 | $29.51 |
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 $8.32 Median $11.75 Typical High $13.18 | Professional | 52 · Reduced service | $8.32 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.68 Typical High $5.25 | Professional | 53 · Discontinued | $3.31 | $4.68 | $5.25 |
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· 31st of 51
$16.60
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.