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 $34.67 Median $48.98 Typical High $74.13 | Facility | None | $34.67 | $48.98 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $44.67 | Professional | None | $32.36 | $34.67 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $186.21 | Facility | None | $40.74 | $40.74 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $29.51 Typical High $72.44 | Professional | None | $17.38 | $29.51 | $72.44 |
BCBS Kansas City Setting Facility Modifier None Typical Low $66.07 Median $69.18 Typical High $131.83 | Facility | None | $66.07 | $69.18 | $131.83 |
BCBS Kansas City Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $81.28 | Professional | None | $28.18 | $47.86 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $91.20 Typical High $199.53 | Facility | None | $33.11 | $91.20 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $31.62 Typical High $61.66 | Professional | None | $19.50 | $31.62 | $61.66 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $57.54 Typical High $190.55 | Facility | None | $36.31 | $57.54 | $190.55 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $42.66 Typical High $204.17 | Professional | None | $20.42 | $42.66 | $204.17 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $54.95 | Professional | None | $16.98 | $24.55 | $54.95 |
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 $17.38 Median $17.38 Typical High $23.44 | Professional | 52 · Reduced service | $17.38 | $17.38 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $9.33 | Professional | 53 · Discontinued | $6.92 | $6.92 | $9.33 |
Where Missouri sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 32nd of 51
$37.15
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.