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 $44.67 Typical High $100.00 | Facility | None | $43.65 | $44.67 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $51.29 | Professional | None | $40.74 | $44.67 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $67.61 | Professional | None | $47.86 | $56.23 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $38.02 | Professional | None | $32.36 | $33.11 | $38.02 |
BCBS Kansas City Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $52.48 | Professional | None | $43.65 | $47.86 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $144.54 | Facility | None | $89.13 | $100.00 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $53.70 | Professional | None | $36.31 | $42.66 | $53.70 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $79.43 Typical High $213.80 | Facility | None | $30.90 | $79.43 | $213.80 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $257.04 | Professional | None | $28.84 | $36.31 | $257.04 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $194.98 | Facility | None | $186.21 | $186.21 | $194.98 |
United Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $53.70 | Professional | None | $28.84 | $34.67 | $53.70 |
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 $20.89 Median $21.88 Typical High $25.70 | Professional | 52 · Reduced service | $20.89 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $10.23 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.23 |
Where Missouri sits
The same service costs 2.9 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· 40th of 51
$36.31
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.