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 $47.86 Median $72.44 Typical High $102.33 | Facility | None | $47.86 | $72.44 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $64.57 | Professional | None | $47.86 | $47.86 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $257.04 | Facility | None | $56.23 | $56.23 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $87.10 Typical High $128.82 | Professional | None | $22.91 | $87.10 | $128.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $173.78 | Facility | None | $70.79 | $93.33 | $173.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $109.65 | Professional | None | $38.90 | $57.54 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $123.03 Typical High $239.88 | Facility | None | $54.95 | $123.03 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $52.48 Typical High $104.71 | Professional | None | $25.12 | $52.48 | $104.71 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $263.03 | Facility | None | $50.12 | $97.72 | $263.03 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $138.04 Typical High $346.74 | Professional | None | $28.18 | $138.04 | $346.74 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $74.13 | Professional | None | $23.44 | $33.11 | $74.13 |
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 $23.44 Median $23.99 Typical High $32.36 | Professional | 52 · Reduced service | $23.44 | $23.99 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $12.88 | Professional | 53 · Discontinued | $9.55 | $9.55 | $12.88 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Delaware. 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· 7th of 51
$72.44
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.