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 $35.48 Median $53.70 Typical High $77.62 | Facility | None | $35.48 | $53.70 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $47.86 | Professional | None | $35.48 | $36.31 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $194.98 | Facility | None | $41.69 | $41.69 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $75.86 Typical High $109.65 | Professional | None | $21.38 | $75.86 | $109.65 |
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 $29.51 Median $57.54 Typical High $109.65 | Professional | None | $29.51 | $57.54 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $93.33 Typical High $239.88 | Facility | None | $54.95 | $93.33 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $39.81 Typical High $81.28 | Professional | None | $20.42 | $39.81 | $81.28 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $74.13 Typical High $263.03 | Facility | None | $38.02 | $74.13 | $263.03 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $102.33 Typical High $346.74 | Professional | None | $20.89 | $102.33 | $346.74 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $56.23 | Professional | None | $17.38 | $25.12 | $56.23 |
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 $17.78 Median $17.78 Typical High $23.99 | Professional | 52 · Reduced service | $17.78 | $17.78 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $9.55 | Professional | 53 · Discontinued | $7.08 | $7.24 | $9.55 |
Where Missouri sits
The same service costs 3.3 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· 6th of 51
$63.10
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.