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 $15.49 Median $26.30 Typical High $50.12 | Facility | None | $15.49 | $26.30 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $30.90 | Professional | None | $22.91 | $23.44 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $125.89 | Facility | None | $26.92 | $26.92 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $18.20 Typical High $38.02 | Professional | None | $10.72 | $18.20 | $38.02 |
BCBS Kansas City Setting Facility Modifier None Typical Low $13.18 Median $16.98 Typical High $32.36 | Facility | None | $13.18 | $16.98 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $48.98 Typical High $74.13 | Facility | None | $11.48 | $48.98 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $21.38 Typical High $38.90 | Professional | None | $5.62 | $21.38 | $38.90 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $32.36 Typical High $128.82 | Facility | None | $13.80 | $32.36 | $128.82 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $16.22 Typical High $32.36 | Professional | None | $7.24 | $16.22 | $32.36 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $7.24 Median $16.22 Typical High $35.48 | Professional | None | $7.24 | $16.22 | $35.48 |
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 $11.48 Median $11.75 Typical High $15.49 | Professional | 52 · Reduced service | $11.48 | $11.75 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $6.17 | Professional | 53 · Discontinued | $4.57 | $4.68 | $6.17 |
Where Missouri sits
The same service costs 5.8 times more in Alaska than in Alabama. 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
$18.20
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.