How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $131.83 Median $131.83 Typical High $154.88 | Facility | None | $131.83 | $131.83 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $154.88 | Professional | None | $117.49 | $131.83 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $25.70 Typical High $120.23 | Professional | None | $15.49 | $25.70 | $120.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $138.04 | Professional | None | $117.49 | $125.89 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $199.53 | Professional | None | $104.71 | $123.03 | $199.53 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $251.19 Typical High $562.34 | Facility | None | $67.61 | $251.19 | $562.34 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $831.76 | Professional | None | $93.33 | $194.98 | $831.76 |
United Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $288.40 | Professional | None | $91.20 | $154.88 | $288.40 |
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 $58.88 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $23.44 | $26.30 | $30.90 |
Where Missouri sits
The same service costs 21.4 times more in Alaska than in New York. 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· 50th of 51
$31.62
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.