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 $165.96 Median $165.96 Typical High $194.98 | Facility | None | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $208.93 | Professional | None | $147.91 | $165.96 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
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 $97.72 Median $109.65 Typical High $186.21 | Professional | None | $97.72 | $109.65 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $831.76 Typical High $912.01 | Facility | None | $323.59 | $831.76 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $309.03 | Professional | None | $154.88 | $165.96 | $309.03 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $741.31 Typical High $977.24 | Facility | None | $158.49 | $741.31 | $977.24 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $602.56 Typical High $1,000.00 | Professional | None | $93.33 | $602.56 | $1,000.00 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $724.44 | Facility | None | $676.08 | $676.08 | $724.44 |
United Setting Professional Modifier None Typical Low $85.11 Median $239.88 Typical High $371.54 | Professional | None | $85.11 | $239.88 | $371.54 |
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 $74.13 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $74.13 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $41.69 | Professional | 53 · Discontinued | $30.20 | $33.11 | $41.69 |
Where Missouri sits
The same service costs 5.8 times more in New Hampshire 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· 45th of 51
$138
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.