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 $10.23 Median $16.60 Typical High $41.69 | Facility | None | $10.23 | $16.60 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $13.80 | Professional | None | $10.23 | $10.47 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $56.23 | Facility | None | $12.02 | $12.02 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $20.89 Typical High $30.90 | Professional | None | $5.75 | $20.89 | $30.90 |
BCBS Setting Facility Modifier None Typical Low $15.49 Median $19.95 Typical High $38.02 | Facility | None | $15.49 | $19.95 | $38.02 |
BCBS Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $23.99 | Professional | None | $8.51 | $13.80 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $26.92 Typical High $58.88 | Facility | None | $13.49 | $26.92 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $11.48 Typical High $22.39 | Professional | None | $5.75 | $11.48 | $22.39 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $25.70 Typical High $245.47 | Facility | None | $10.96 | $25.70 | $245.47 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $37.15 Typical High $426.58 | Professional | None | $7.24 | $37.15 | $426.58 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $27.54 | Professional | None | $7.24 | $12.02 | $27.54 |
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 $5.13 Median $5.25 Typical High $6.92 | Professional | 52 · Reduced service | $5.13 | $5.25 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $2.75 | Professional | 53 · Discontinued | $2.04 | $2.09 | $2.75 |
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· 3rd of 51
$19.50
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.