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 $93.33 Median $125.89 Typical High $190.55 | Facility | None | $93.33 | $125.89 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $125.89 | Professional | None | $85.11 | $107.15 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $165.96 | Professional | None | $120.23 | $128.82 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $1,479.11 Typical High $1,659.59 | Facility | None | $109.65 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $134.90 | Professional | None | $104.71 | $117.49 | $134.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $177.83 | Professional | None | $102.33 | $128.82 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $147.91 | Professional | None | $83.18 | $120.23 | $147.91 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $501.19 | Facility | None | $112.20 | $147.91 | $501.19 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $676.08 Typical High $741.31 | Professional | None | $114.82 | $676.08 | $741.31 |
Qualchoice Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | None | $154.88 | $154.88 | $181.97 |
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 $107.15 Median $120.23 Typical High $194.98 | Professional | None | $107.15 | $120.23 | $194.98 |
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 $54.95 Median $60.26 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $29.51 | Professional | 53 · Discontinued | $21.88 | $23.99 | $29.51 |
Where Missouri sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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
$117
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.