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 $72.44 Median $109.65 Typical High $154.88 | Facility | None | $72.44 | $109.65 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $97.72 | Professional | None | $72.44 | $77.62 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $389.05 | Facility | None | $85.11 | $85.11 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $213.80 | Professional | None | $43.65 | $70.79 | $213.80 |
BCBS Kansas City Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $288.40 | Facility | None | $114.82 | $151.36 | $288.40 |
BCBS Kansas City Setting Professional Modifier None Typical Low $60.26 Median $114.82 Typical High $177.83 | Professional | None | $60.26 | $114.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $190.55 Typical High $489.78 | Facility | None | $112.20 | $190.55 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $81.28 Typical High $165.96 | Professional | None | $41.69 | $81.28 | $165.96 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $147.91 Typical High $407.38 | Facility | None | $85.11 | $147.91 | $407.38 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $208.93 Typical High $691.83 | Professional | None | $42.66 | $208.93 | $691.83 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $114.82 | Professional | None | $35.48 | $51.29 | $114.82 |
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 $36.31 Median $36.31 Typical High $48.98 | Professional | 52 · Reduced service | $36.31 | $36.31 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.79 Typical High $19.50 | Professional | 53 · Discontinued | $14.45 | $14.79 | $19.50 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$83.18
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.