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 $64.57 Median $64.57 Typical High $75.86 | Facility | None | $64.57 | $64.57 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $75.86 | Professional | None | $57.54 | $64.57 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $46.77 Typical High $104.71 | Professional | None | $19.50 | $46.77 | $104.71 |
BCBS Kansas City Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $117.49 | Professional | None | $54.95 | $63.10 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $120.23 | Professional | None | $56.23 | $67.61 | $120.23 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $134.90 Typical High $257.04 | Facility | None | $61.66 | $134.90 | $257.04 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $141.25 Typical High $389.05 | Professional | None | $58.88 | $141.25 | $389.05 |
United Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $141.25 | Professional | None | $53.70 | $74.13 | $141.25 |
1 more rate 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 53 · Discontinued Typical Low $11.48 Median $12.88 Typical High $15.14 | Professional | 53 · Discontinued | $11.48 | $12.88 | $15.14 |
Where Missouri sits
The same service costs 3.1 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· 26th of 51
$67.61
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.