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 $23.99 Median $25.12 Typical High $29.51 | Facility | None | $23.99 | $25.12 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $30.20 | Professional | None | $23.44 | $25.12 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $37.15 | Professional | None | $16.98 | $22.91 | $37.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $28.84 | Professional | None | $22.39 | $24.55 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $109.65 | Facility | None | $56.23 | $72.44 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $41.69 | Professional | None | $20.42 | $23.99 | $41.69 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $50.12 Typical High $114.82 | Facility | None | $23.44 | $50.12 | $114.82 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $51.29 Typical High $154.88 | Professional | None | $19.95 | $51.29 | $154.88 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $54.95 | Professional | None | $17.78 | $27.54 | $54.95 |
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 $12.02 Median $12.59 Typical High $14.45 | Professional | 52 · Reduced service | $12.02 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.01 Typical High $5.89 | Professional | 53 · Discontinued | $4.79 | $5.01 | $5.89 |
Where Missouri sits
The same service costs 2.8 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· 42nd of 51
$23.99
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.