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 $12.59 Median $19.05 Typical High $3,801.89 | Facility | None | $12.59 | $19.05 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | None | $12.59 | $12.59 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $10.47 Typical High $16.98 | Professional | None | $7.94 | $10.47 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $15.85 Typical High $24.55 | Professional | None | $13.80 | $15.85 | $24.55 |
BCBS Kansas City Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $16.60 | Professional | None | $11.48 | $12.02 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $95.50 Typical High $107.15 | Facility | None | $56.23 | $95.50 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $32.36 | Professional | None | $10.72 | $16.22 | $32.36 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $56.23 Typical High $199.53 | Facility | None | $13.80 | $56.23 | $199.53 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $91.20 Typical High $91.20 | Professional | None | $19.05 | $91.20 | $91.20 |
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 $14.45 Median $25.12 Typical High $34.67 | Professional | None | $14.45 | $25.12 | $34.67 |
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 $6.31 Median $6.31 Typical High $7.41 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.95 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.95 |
Where Missouri sits
The same service costs 3.0 times more in Minnesota 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· 34th of 51
$15.85
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.