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 $54.95 Median $54.95 Typical High $64.57 | Facility | None | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $64.57 | Professional | None | $53.70 | $56.23 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $52.48 | Professional | None | $43.65 | $50.12 | $52.48 |
BCBS Kansas City Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $69.18 | Professional | None | $58.88 | $63.10 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $144.54 | Facility | None | $89.13 | $125.89 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $69.18 | Professional | None | $45.71 | $53.70 | $69.18 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $120.23 Typical High $269.15 | Facility | None | $41.69 | $120.23 | $269.15 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $323.59 | Professional | None | $37.15 | $47.86 | $323.59 |
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 $37.15 Median $47.86 Typical High $67.61 | Professional | None | $37.15 | $47.86 | $67.61 |
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 $26.92 Median $27.54 Typical High $32.36 | Professional | 52 · Reduced service | $26.92 | $27.54 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.22 Typical High $12.88 | Professional | 53 · Discontinued | $10.72 | $11.22 | $12.88 |
Where Missouri sits
The same service costs 2.6 times more in Alaska than in Indiana. 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· 33rd of 51
$52.48
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.