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 $29.51 Median $47.86 Typical High $74.13 | Facility | None | $29.51 | $47.86 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $39.81 | Professional | None | $29.51 | $33.88 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $162.18 | Facility | None | $34.67 | $34.67 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $60.26 Typical High $91.20 | Professional | None | $18.20 | $60.26 | $91.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $123.03 | Facility | None | $48.98 | $64.57 | $123.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $24.55 Median $43.65 Typical High $75.86 | Professional | None | $24.55 | $43.65 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $77.62 Typical High $181.97 | Facility | None | $42.66 | $77.62 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $33.11 Typical High $66.07 | Professional | None | $16.98 | $33.11 | $66.07 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $60.26 Typical High $512.86 | Facility | None | $31.62 | $60.26 | $512.86 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $109.65 Typical High $389.05 | Professional | None | $20.89 | $109.65 | $389.05 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $79.43 | Professional | None | $20.89 | $34.67 | $79.43 |
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 $14.79 Median $15.14 Typical High $19.95 | Professional | 52 · Reduced service | $14.79 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.03 Typical High $7.94 | Professional | 53 · Discontinued | $5.89 | $6.03 | $7.94 |
Where Missouri sits
The same service costs 4.6 times more in Kentucky 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· 8th of 51
$56.23
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.