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 $33.11 Median $33.11 Typical High $38.90 | Facility | None | $33.11 | $33.11 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $38.90 | Professional | None | $30.20 | $33.11 | $38.90 |
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 $28.84 Median $32.36 Typical High $51.29 | Professional | None | $28.84 | $32.36 | $51.29 |
BCBS Kansas City Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $44.67 | Professional | None | $28.18 | $32.36 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $67.61 | Professional | None | $31.62 | $38.90 | $67.61 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $144.54 | Facility | None | $35.48 | $52.48 | $144.54 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $91.20 Typical High $204.17 | Professional | None | $31.62 | $91.20 | $204.17 |
United Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $81.28 | Professional | None | $30.20 | $38.90 | $81.28 |
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 $15.49 Median $16.60 Typical High $19.50 | Professional | 52 · Reduced service | $15.49 | $16.60 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.61 Typical High $7.76 | Professional | 53 · Discontinued | $6.17 | $6.61 | $7.76 |
Where Missouri sits
The same service costs 3.0 times more in Alaska 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· 42nd of 51
$33.11
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.