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 $18.62 Median $48.98 Typical High $93.33 | Facility | None | $18.62 | $48.98 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $57.54 | Professional | None | $39.81 | $43.65 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $234.42 | Facility | None | $50.12 | $50.12 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $63.10 | Professional | None | $18.20 | $20.42 | $63.10 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5.01 Median $6.46 Typical High $20.42 | Facility | None | $5.01 | $6.46 | $20.42 |
BCBS Kansas City Setting Professional Modifier None Typical Low $7.59 Median $16.22 Typical High $95.50 | Professional | None | $7.59 | $16.22 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $95.50 Typical High $162.18 | Facility | None | $16.98 | $95.50 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $26.92 Typical High $64.57 | Professional | None | $7.41 | $26.92 | $64.57 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $50.12 Typical High $239.88 | Facility | None | $17.38 | $50.12 | $239.88 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $251.19 Typical High $251.19 | Professional | None | $30.20 | $251.19 | $251.19 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $15.49 Median $50.12 Typical High $128.82 | Professional | None | $15.49 | $50.12 | $128.82 |
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 $21.38 Median $21.88 Typical High $28.84 | Professional | 52 · Reduced service | $21.38 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $11.75 | Professional | 53 · Discontinued | $8.51 | $8.71 | $11.75 |
Where Missouri sits
The same service costs 10.2 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· 26th of 51
$48.98
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.