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 $22.91 Median $34.67 Typical High $64.57 | Facility | None | $22.91 | $34.67 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | None | $30.20 | $30.20 | $40.74 |
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 $14.13 Median $25.12 Typical High $43.65 | Professional | None | $14.13 | $25.12 | $43.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $45.71 | Facility | None | $18.20 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $67.61 Typical High $95.50 | Facility | None | $15.85 | $67.61 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $27.54 Typical High $50.12 | Professional | None | $7.76 | $27.54 | $50.12 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $42.66 Typical High $165.96 | Facility | None | $19.05 | $42.66 | $165.96 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $21.38 Typical High $42.66 | Professional | None | $10.23 | $21.38 | $42.66 |
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 $10.23 Median $21.38 Typical High $45.71 | Professional | None | $10.23 | $21.38 | $45.71 |
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 $15.14 Median $15.14 Typical High $20.42 | Professional | 52 · Reduced service | $15.14 | $15.14 | $20.42 |
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 5.6 times more in Alaska than in Kentucky. 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
$25.12
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.