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 $37.15 Median $56.23 Typical High $81.28 | Facility | None | $37.15 | $56.23 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $47.86 | Professional | None | $36.31 | $37.15 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $199.53 | Facility | None | $43.65 | $43.65 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $34.67 Typical High $95.50 | Professional | None | $19.95 | $34.67 | $95.50 |
BCBS Kansas City Setting Facility Modifier None Typical Low $35.48 Median $46.77 Typical High $89.13 | Facility | None | $35.48 | $46.77 | $89.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $83.18 | Professional | None | $30.90 | $54.95 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $229.09 | Facility | None | $52.48 | $97.72 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $41.69 Typical High $81.28 | Professional | None | $20.89 | $41.69 | $81.28 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $75.86 Typical High $208.93 | Facility | None | $39.81 | $75.86 | $208.93 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $107.15 Typical High $331.13 | Professional | None | $21.88 | $107.15 | $331.13 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $18.20 Median $26.30 Typical High $57.54 | Professional | None | $18.20 | $26.30 | $57.54 |
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 $18.62 Median $18.62 Typical High $25.12 | Professional | 52 · Reduced service | $18.62 | $18.62 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $10.00 | Professional | 53 · Discontinued | $7.41 | $7.59 | $10.00 |
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· 28th of 51
$42.66
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.