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 $28.84 Median $43.65 Typical High $61.66 | Facility | None | $28.84 | $43.65 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $35.48 | Professional | None | $28.84 | $30.90 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $154.88 | Facility | None | $33.88 | $33.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $46.77 Typical High $85.11 | Professional | None | $16.60 | $46.77 | $85.11 |
BCBS Kansas City Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $128.82 | Facility | None | $52.48 | $67.61 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $194.98 | Facility | None | $44.67 | $74.13 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $38.90 Typical High $72.44 | Professional | None | $19.50 | $38.90 | $72.44 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $70.79 Typical High $162.18 | Facility | None | $30.20 | $70.79 | $162.18 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $23.99 Typical High $42.66 | Professional | None | $15.14 | $23.99 | $42.66 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $14.13 Median $25.12 Typical High $45.71 | Professional | None | $14.13 | $25.12 | $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 $14.45 Median $14.45 Typical High $19.50 | Professional | 52 · Reduced service | $14.45 | $14.45 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $7.76 | Professional | 53 · Discontinued | $5.75 | $5.75 | $7.76 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 13th of 51
$40.74
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.