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 $36.31 Median $54.95 Typical High $91.20 | Facility | None | $36.31 | $54.95 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $40.74 Typical High $48.98 | Professional | None | $36.31 | $40.74 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $194.98 | Facility | None | $42.66 | $42.66 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $47.86 Typical High $107.15 | Professional | None | $19.50 | $47.86 | $107.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $53.70 Median $70.79 Typical High $131.83 | Facility | None | $53.70 | $70.79 | $131.83 |
BCBS Kansas City Setting Professional Modifier None Typical Low $29.51 Median $47.86 Typical High $83.18 | Professional | None | $29.51 | $47.86 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $93.33 Typical High $199.53 | Facility | None | $45.71 | $93.33 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $40.74 Typical High $79.43 | Professional | None | $20.42 | $40.74 | $79.43 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $74.13 Typical High $234.42 | Facility | None | $38.02 | $74.13 | $234.42 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $128.82 Typical High $389.05 | Professional | None | $25.70 | $128.82 | $389.05 |
United Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $25.70 Median $42.66 Typical High $95.50 | Professional | None | $25.70 | $42.66 | $95.50 |
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 $18.20 Median $18.20 Typical High $24.55 | Professional | 52 · Reduced service | $18.20 | $18.20 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $9.77 | Professional | 53 · Discontinued | $7.24 | $7.24 | $9.77 |
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· 24th of 51
$47.86
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.