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 $26.30 Median $58.88 Typical High $112.20 | Facility | None | $26.30 | $58.88 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $69.18 | Professional | None | $51.29 | $52.48 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $281.84 | Facility | None | $60.26 | $60.26 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $24.55 Typical High $75.86 | Professional | None | $16.60 | $24.55 | $75.86 |
BCBS Kansas City Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $45.71 | Facility | None | $18.20 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $102.33 Typical High $165.96 | Facility | None | $15.85 | $102.33 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $47.86 Typical High $81.28 | Professional | None | $7.76 | $47.86 | $81.28 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $72.44 Typical High $288.40 | Facility | None | $19.05 | $72.44 | $288.40 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $36.31 Typical High $72.44 | Professional | None | $10.23 | $36.31 | $72.44 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $10.23 Median $36.31 Typical High $79.43 | Professional | None | $10.23 | $36.31 | $79.43 |
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 $25.70 Median $26.30 Typical High $34.67 | Professional | 52 · Reduced service | $25.70 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $14.13 | Professional | 53 · Discontinued | $10.23 | $10.47 | $14.13 |
Where Missouri sits
The same service costs 9.1 times more in Alaska than in Kentucky. 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· 39th of 51
$36.31
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.