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 $60.26 Median $91.20 Typical High $151.36 | Facility | None | $60.26 | $91.20 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $83.18 | Professional | None | $51.29 | $67.61 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $112.20 | Professional | None | $29.51 | $29.51 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $323.59 | Facility | None | $70.79 | $70.79 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $169.82 | Professional | None | $34.67 | $60.26 | $169.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $234.42 | Facility | None | $120.23 | $134.90 | $234.42 |
BCBS Kansas City Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $147.91 | Professional | None | $48.98 | $87.10 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $154.88 Typical High $363.08 | Facility | None | $79.43 | $154.88 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $66.07 Typical High $109.65 | Professional | None | $34.67 | $66.07 | $109.65 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $123.03 Typical High $331.13 | Facility | None | $63.10 | $123.03 | $331.13 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $77.62 Typical High $354.81 | Professional | None | $35.48 | $77.62 | $354.81 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $93.33 | Professional | None | $29.51 | $41.69 | $93.33 |
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 $29.51 Median $30.20 Typical High $40.74 | Professional | 52 · Reduced service | $29.51 | $30.20 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $16.22 | Professional | 53 · Discontinued | $12.02 | $12.02 | $16.22 |
Where Missouri sits
The same service costs 4.0 times more in Alaska than in Alabama. 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· 30th of 51
$67.61
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.