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 $26.92 Median $29.51 Typical High $95.50 | Facility | None | $26.92 | $29.51 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $47.86 Typical High $97.72 | Professional | None | $24.55 | $47.86 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $70.79 Typical High $120.23 | Professional | None | $38.90 | $70.79 | $120.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $58.88 Median $102.33 Typical High $181.97 | Professional | 50 · Both sides | $58.88 | $102.33 | $181.97 |
BCBS Kansas City Setting Professional Modifier None Typical Low $28.18 Median $74.13 Typical High $169.82 | Professional | None | $28.18 | $74.13 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $158.49 | Professional | None | $33.11 | $64.57 | $158.49 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $104.71 Typical High $1,412.54 | Facility | None | $43.65 | $104.71 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $501.19 Typical High $707.95 | Professional | None | $64.57 | $501.19 | $707.95 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Facility | None | $1,174.90 | $1,174.90 | $1,230.27 |
United Setting Professional Modifier None Typical Low $27.54 Median $47.86 Typical High $114.82 | Professional | None | $27.54 | $47.86 | $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 $12.30 Median $21.88 Typical High $48.98 | Professional | 52 · Reduced service | $12.30 | $21.88 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $8.71 Typical High $19.50 | Professional | 53 · Discontinued | $5.01 | $8.71 | $19.50 |
Where Missouri sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 22nd of 51
$72.44
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.