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 $33.88 Median $33.88 Typical High $39.81 | Facility | None | $33.88 | $33.88 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $39.81 | Professional | None | $32.36 | $33.88 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $29.51 | Professional | None | $21.88 | $26.92 | $29.51 |
BCBS Kansas City Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $39.81 | Professional | None | $33.88 | $37.15 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $109.65 | Facility | None | $56.23 | $87.10 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $41.69 | Professional | None | $28.18 | $33.11 | $41.69 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $70.79 Typical High $162.18 | Facility | None | $24.55 | $70.79 | $162.18 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $204.17 | Professional | None | $23.44 | $30.20 | $204.17 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $41.69 | Professional | None | $23.44 | $30.20 | $41.69 |
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 $16.22 Median $16.98 Typical High $19.95 | Professional | 52 · Reduced service | $16.22 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $6.46 | $6.76 | $7.94 |
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
$29.51
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.