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 $44.67 Median $46.77 Typical High $104.71 | Facility | None | $44.67 | $46.77 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $52.48 | Professional | None | $42.66 | $44.67 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $72.44 | Professional | None | $43.65 | $61.66 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $41.69 | Professional | None | $32.36 | $36.31 | $41.69 |
BCBS Kansas City Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $54.95 | Professional | None | $46.77 | $51.29 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $446.68 | Facility | None | $112.20 | $131.83 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $53.70 | Professional | None | $37.15 | $43.65 | $53.70 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $97.72 Typical High $416.87 | Facility | None | $35.48 | $97.72 | $416.87 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $257.04 | Professional | None | $29.51 | $37.15 | $257.04 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Facility | None | $407.38 | $407.38 | $426.58 |
United Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $54.95 | Professional | None | $29.51 | $37.15 | $54.95 |
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 $21.38 Median $22.39 Typical High $26.30 | Professional | 52 · Reduced service | $21.38 | $22.39 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $10.47 | Professional | 53 · Discontinued | $8.51 | $8.91 | $10.47 |
Where Missouri sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 37th of 51
$38.90
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.