How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $25.12 Median $2,290.87 Typical High $3,801.89 | Facility | None | $25.12 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $47.86 | Professional | None | $24.55 | $25.70 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $21.88 Typical High $34.67 | Professional | None | $20.42 | $21.88 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $44.67 | Professional | None | $23.44 | $25.70 | $44.67 |
BCBS Kansas City Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $30.90 | Professional | None | $23.44 | $24.55 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $54.95 | Professional | None | $22.39 | $28.84 | $54.95 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $53.70 Typical High $102.33 | Facility | None | $27.54 | $53.70 | $102.33 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $151.36 Typical High $151.36 | Professional | None | $32.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $24.55 Median $43.65 Typical High $63.10 | Professional | None | $24.55 | $43.65 | $63.10 |
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 $12.59 Median $12.88 Typical High $14.45 | Professional | 52 · Reduced service | $12.59 | $12.88 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $5.75 | Professional | 53 · Discontinued | $5.01 | $5.13 | $5.75 |
Where Missouri sits
The same service costs 2.8 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· 35th of 51
$26.92
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.