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 $100.00 Median $151.36 Typical High $213.80 | Facility | None | $100.00 | $151.36 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $234.42 | Professional | None | $61.66 | $112.20 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $537.03 | Facility | None | $117.49 | $117.49 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $239.88 Typical High $363.08 | Professional | None | $66.07 | $239.88 | $363.08 |
BCBS Kansas City Setting Facility Modifier None Typical Low $37.15 Median $47.86 Typical High $245.47 | Facility | None | $37.15 | $47.86 | $245.47 |
BCBS Kansas City Setting Professional Modifier None Typical Low $57.54 Median $117.49 Typical High $223.87 | Professional | None | $57.54 | $117.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $660.69 | Facility | None | $154.88 | $263.03 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $123.03 Typical High $338.84 | Professional | None | $56.23 | $123.03 | $338.84 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $204.17 Typical High $562.34 | Facility | None | $102.33 | $204.17 | $562.34 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $954.99 Typical High $954.99 | Professional | None | $117.49 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $295.12 | Professional | None | $69.18 | $117.49 | $295.12 |
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 $48.98 Median $50.12 Typical High $67.61 | Professional | 52 · Reduced service | $48.98 | $50.12 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $26.92 | Professional | 53 · Discontinued | $19.95 | $19.95 | $26.92 |
Where Missouri sits
The same service costs 6.3 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· 10th of 51
$224
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.