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 $40.74 Median $50.12 Typical High $109.65 | Facility | None | $40.74 | $50.12 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $46.77 Typical High $58.88 | Professional | None | $38.02 | $46.77 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $67.61 | Professional | None | $38.90 | $67.61 | $67.61 |
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 $42.66 Median $46.77 Typical High $77.62 | Professional | None | $42.66 | $46.77 | $77.62 |
BCBS Kansas City Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $72.44 | Professional | None | $36.31 | $52.48 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $371.54 | Facility | None | $141.25 | $144.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $91.20 | Professional | None | $39.81 | $52.48 | $91.20 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $87.10 Typical High $245.47 | Facility | None | $43.65 | $87.10 | $245.47 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $302.00 Typical High $478.63 | Professional | None | $57.54 | $302.00 | $478.63 |
Qualchoice Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $316.23 | Facility | None | $302.00 | $302.00 | $316.23 |
United Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $107.15 | Professional | None | $38.90 | $58.88 | $107.15 |
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 $19.05 Median $23.44 Typical High $28.84 | Professional | 52 · Reduced service | $19.05 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.33 Typical High $11.75 | Professional | 53 · Discontinued | $7.59 | $9.33 | $11.75 |
Where Missouri sits
The same service costs 2.8 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· 32nd of 51
$52.48
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.