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 $38.02 Median $38.02 Typical High $44.67 | Facility | None | $38.02 | $38.02 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $44.67 | Professional | None | $36.31 | $38.02 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $63.10 | Professional | None | $39.81 | $46.77 | $63.10 |
BCBS Kansas City Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $50.12 | Professional | None | $31.62 | $38.02 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $81.28 | Professional | None | $35.48 | $45.71 | $81.28 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $54.95 Typical High $165.96 | Facility | None | $36.31 | $54.95 | $165.96 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $147.91 Typical High $229.09 | Professional | None | $38.90 | $147.91 | $229.09 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $85.11 | Professional | None | $35.48 | $44.67 | $85.11 |
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 $17.78 Median $19.05 Typical High $22.39 | Professional | 52 · Reduced service | $17.78 | $19.05 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.59 Typical High $8.91 | Professional | 53 · Discontinued | $7.24 | $7.59 | $8.91 |
Where Missouri sits
The same service costs 2.7 times more in Alaska than in New York. 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· 26th of 51
$46.77
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.