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 $8.51 Median $10.00 Typical High $24.55 | Facility | None | $8.51 | $10.00 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $24.55 | Professional | None | $7.94 | $18.20 | $24.55 |
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 $8.51 Median $16.60 Typical High $24.55 | Professional | None | $8.51 | $16.60 | $24.55 |
BCBS Kansas City Setting Professional Modifier None Typical Low $7.41 Median $20.89 Typical High $27.54 | Professional | None | $7.41 | $20.89 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $30.90 | Professional | None | $7.94 | $18.20 | $30.90 |
Medica Setting Facility Modifier None Typical Low $12.59 Median $27.54 Typical High $39.81 | Facility | None | $12.59 | $27.54 | $39.81 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $79.43 Typical High $128.82 | Professional | None | $18.62 | $79.43 | $128.82 |
United Setting Professional Modifier None Typical Low $7.76 Median $18.20 Typical High $28.84 | Professional | None | $7.76 | $18.20 | $28.84 |
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 $3.98 Median $8.71 Typical High $12.30 | Professional | 52 · Reduced service | $3.98 | $8.71 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $3.47 Typical High $4.90 | Professional | 53 · Discontinued | $1.58 | $3.47 | $4.90 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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
$19.05
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.