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 $25.70 Median $34.67 Typical High $69.18 | Facility | None | $25.70 | $34.67 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $40.74 | Professional | None | $25.70 | $30.20 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $48.98 | Professional | None | $30.20 | $42.66 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $1,479.11 Typical High $1,659.59 | Facility | None | $31.62 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $41.69 | Professional | None | $31.62 | $37.15 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $38.90 | Professional | None | $23.99 | $38.90 | $38.90 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $69.18 Typical High $1,071.52 | Facility | None | $32.36 | $69.18 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $218.78 | Professional | None | $32.36 | $52.48 | $218.78 |
Qualchoice Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | None | $42.66 | $42.66 | $50.12 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,412.54 | $1,479.11 |
United Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $56.23 | Professional | None | $32.36 | $33.88 | $56.23 |
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 $16.60 Median $17.38 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.92 Typical High $8.13 | Professional | 53 · Discontinued | $6.61 | $6.92 | $8.13 |
Where Missouri sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 31st of 51
$35.48
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.