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 $40.74 Median $40.74 Typical High $47.86 | Facility | None | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $47.86 | Professional | None | $38.90 | $40.74 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $34.67 | Professional | None | $25.70 | $30.90 | $34.67 |
BCBS Kansas City Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $47.86 | Professional | None | $39.81 | $43.65 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $109.65 | Facility | None | $56.23 | $93.33 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $48.98 | Professional | None | $34.67 | $40.74 | $48.98 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $91.20 Typical High $204.17 | Facility | None | $25.12 | $91.20 | $204.17 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $239.88 | Professional | None | $27.54 | $34.67 | $239.88 |
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 $27.54 Median $34.67 Typical High $50.12 | Professional | None | $27.54 | $34.67 | $50.12 |
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 $19.50 Median $20.42 Typical High $23.99 | Professional | 52 · Reduced service | $19.50 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.32 Typical High $9.55 | Professional | 53 · Discontinued | $7.76 | $8.32 | $9.55 |
Where Missouri sits
The same service costs 3.5 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· 38th of 51
$34.67
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.