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 $11.22 Median $18.20 Typical High $44.67 | Facility | None | $11.22 | $18.20 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.14 | Professional | None | $11.22 | $11.22 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $60.26 | Facility | None | $13.18 | $13.18 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $20.89 Typical High $31.62 | Professional | None | $5.75 | $20.89 | $31.62 |
BCBS Kansas City Setting Facility Modifier None Typical Low $15.49 Median $19.95 Typical High $38.02 | Facility | None | $15.49 | $19.95 | $38.02 |
BCBS Kansas City Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $24.55 | Professional | None | $9.12 | $13.80 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $28.84 Typical High $58.88 | Facility | None | $13.49 | $28.84 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $12.30 Typical High $24.55 | Professional | None | $6.03 | $12.30 | $24.55 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $223.87 | Facility | None | $11.75 | $25.70 | $223.87 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $39.81 Typical High $602.56 | Professional | None | $7.76 | $39.81 | $602.56 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $29.51 | Professional | None | $7.76 | $13.18 | $29.51 |
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 $5.62 Median $5.62 Typical High $7.59 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $3.02 | Professional | 53 · Discontinued | $2.24 | $2.24 | $3.02 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 4th of 51
$20.42
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.