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 $43.65 Median $66.07 Typical High $109.65 | Facility | None | $43.65 | $66.07 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $58.88 | Professional | None | $43.65 | $47.86 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $234.42 | Facility | None | $51.29 | $51.29 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $91.20 Typical High $223.87 | Professional | None | $22.91 | $91.20 | $223.87 |
BCBS Kansas City Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $162.18 | Facility | None | $66.07 | $87.10 | $162.18 |
BCBS Kansas City Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $102.33 | Professional | None | $35.48 | $54.95 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $112.20 Typical High $229.09 | Facility | None | $52.48 | $112.20 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $48.98 Typical High $95.50 | Professional | None | $23.44 | $48.98 | $95.50 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $89.13 Typical High $281.84 | Facility | None | $45.71 | $89.13 | $281.84 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $158.49 Typical High $389.05 | Professional | None | $30.90 | $158.49 | $389.05 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $114.82 | Professional | None | $30.90 | $51.29 | $114.82 |
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 $21.88 Median $21.88 Typical High $29.51 | Professional | 52 · Reduced service | $21.88 | $21.88 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $11.75 | Professional | 53 · Discontinued | $8.71 | $8.71 | $11.75 |
Where Missouri sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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
$77.62
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.