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 $45.71 Median $52.48 Typical High $91.20 | Facility | None | $45.71 | $52.48 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $67.61 | Professional | None | $35.48 | $45.71 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $69.18 | Professional | None | $14.13 | $25.70 | $69.18 |
BCBS Kansas City Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $95.50 | Facility | None | $48.98 | $54.95 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $288.40 | Facility | None | $48.98 | $79.43 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $39.81 Typical High $52.48 | Professional | None | $17.38 | $39.81 | $52.48 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $66.07 Typical High $165.96 | Facility | None | $35.48 | $66.07 | $165.96 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $45.71 | Professional | None | $18.20 | $25.70 | $45.71 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $47.86 | Professional | None | $18.20 | $25.70 | $47.86 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where Missouri sits
The same service costs 4.5 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· 28th of 51
$39.81
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.