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 $30.20 Median $42.66 Typical High $63.10 | Facility | None | $30.20 | $42.66 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $42.66 | Professional | None | $29.51 | $33.88 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $47.86 | Professional | None | $16.98 | $17.38 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $162.18 | Facility | None | $35.48 | $35.48 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $63.10 Typical High $89.13 | Professional | None | $19.95 | $63.10 | $89.13 |
BCBS Kansas City Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $107.15 | Facility | None | $42.66 | $56.23 | $107.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $24.55 Median $47.86 Typical High $66.07 | Professional | None | $24.55 | $47.86 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $77.62 Typical High $199.53 | Facility | None | $46.77 | $77.62 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $33.11 Typical High $69.18 | Professional | None | $16.98 | $33.11 | $69.18 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $70.79 Typical High $165.96 | Facility | None | $41.69 | $70.79 | $165.96 |
Medica Setting Professional Modifier None Typical Low $17.38 Median $87.10 Typical High $316.23 | Professional | None | $17.38 | $87.10 | $316.23 |
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 $14.79 Median $20.89 Typical High $46.77 | Professional | None | $14.79 | $20.89 | $46.77 |
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 $14.79 Median $15.14 Typical High $19.95 | Professional | 52 · Reduced service | $14.79 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $8.13 | Professional | 53 · Discontinued | $6.03 | $6.03 | $8.13 |
Where Missouri sits
The same service costs 3.5 times more in Minnesota than in Maryland. 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· 13th of 51
$47.86
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.