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 $20.42 Median $25.12 Typical High $47.86 | Facility | None | $20.42 | $25.12 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $20.89 Typical High $23.99 | Professional | None | $19.50 | $20.89 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $33.11 | Professional | None | $24.55 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $22.91 | Professional | None | $15.14 | $16.22 | $22.91 |
BCBS Kansas City Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None | $21.38 | $22.91 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $48.98 Typical High $144.54 | Facility | None | $44.67 | $48.98 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $24.55 | Professional | None | $16.98 | $19.95 | $24.55 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $41.69 Typical High $177.83 | Facility | None | $16.22 | $41.69 | $177.83 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $120.23 | Professional | None | $12.30 | $16.60 | $120.23 |
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 $12.02 Median $15.85 Typical High $23.44 | Professional | None | $12.02 | $15.85 | $23.44 |
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 $9.77 Median $10.23 Typical High $12.02 | Professional | 52 · Reduced service | $9.77 | $10.23 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.07 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $4.07 | $4.79 |
Where Missouri sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 38th of 51
$18.20
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.