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 $32.36 Typical High $45.71 | Facility | None | $22.91 | $32.36 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $25.70 Typical High $34.67 | Professional | None | $14.45 | $25.70 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $36.31 | Professional | None | $11.22 | $13.18 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $123.03 | Facility | None | $26.92 | $26.92 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $38.90 Typical High $107.15 | Professional | None | $15.14 | $38.90 | $107.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $33.88 Median $43.65 Typical High $83.18 | Facility | None | $33.88 | $43.65 | $83.18 |
BCBS Kansas City Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $52.48 | Professional | None | $18.62 | $25.12 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $151.36 | Facility | None | $35.48 | $58.88 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $28.18 Typical High $72.44 | Professional | None | $12.88 | $28.18 | $72.44 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $42.66 Typical High $125.89 | Facility | None | $23.99 | $42.66 | $125.89 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $3,235.94 Typical High $3,235.94 | Professional | None | $26.92 | $3,235.94 | $3,235.94 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $67.61 | Professional | None | $15.85 | $26.92 | $67.61 |
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 $11.22 Median $11.48 Typical High $15.14 | Professional | 52 · Reduced service | $11.22 | $11.48 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.57 Typical High $6.17 | Professional | 53 · Discontinued | $4.47 | $4.57 | $6.17 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 17th of 51
$38.90
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.