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 $19.50 Median $19.50 Typical High $43.65 | Facility | None | $19.50 | $19.50 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.50 Typical High $31.62 | Professional | None | $18.20 | $19.50 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $29.51 | Professional | None | $15.14 | $17.38 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $18,197.01 Typical High $26,915.35 | Facility | None | $1,479.11 | $18,197.01 | $26,915.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $56.23 | Professional | None | $21.88 | $26.92 | $56.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $35.48 | Professional | None | $16.98 | $20.89 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $354.81 | Facility | None | $83.18 | $83.18 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $69.18 | Professional | None | $18.20 | $23.44 | $69.18 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $74.13 Typical High $190.55 | Facility | None | $19.50 | $74.13 | $190.55 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $199.53 Typical High $371.54 | Professional | None | $24.55 | $199.53 | $371.54 |
Qualchoice Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | None | $27.54 | $27.54 | $32.36 |
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 $19.05 Median $26.30 Typical High $60.26 | Professional | None | $19.05 | $26.30 | $60.26 |
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 $9.12 Median $9.77 Typical High $11.48 | Professional | 52 · Reduced service | $9.12 | $9.77 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.89 Typical High $4.57 | Professional | 53 · Discontinued | $3.63 | $3.89 | $4.57 |
Where Missouri sits
The same service costs 2.7 times more in Alaska than in Maryland. 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· 20th 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.