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 $5.50 Median $5.50 Typical High $6.46 | Facility | None | $5.50 | $5.50 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.46 | Professional | None | $5.50 | $5.50 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $10.23 Typical High $100.00 | Professional | None | $5.62 | $10.23 | $100.00 |
BCBS Kansas City Setting Professional Modifier None Typical Low $5.75 Median $6.17 Typical High $10.47 | Professional | None | $5.75 | $6.17 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $354.81 | Facility | None | $41.69 | $41.69 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $134.90 Typical High $141.25 | Professional | None | $15.14 | $134.90 | $141.25 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $30.20 Typical High $380.19 | Facility | None | $6.46 | $30.20 | $380.19 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $426.58 Typical High $426.58 | Professional | None | $6.03 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.41 Typical High $15.49 | Professional | None | $4.79 | $7.41 | $15.49 |
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 $2.69 Median $2.75 Typical High $3.24 | Professional | 52 · Reduced service | $2.69 | $2.75 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.29 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.29 |
Where Missouri sits
The same service costs 3.9 times more in Indiana 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· 24th of 51
$9.12
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.