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 $30.20 Typical High $30.20 | Facility | None | $25.70 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | None | $30.20 | $30.20 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $79.43 Typical High $79.43 | Professional | None | $50.12 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $48.98 | Professional | None | $19.95 | $19.95 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $67.61 | Facility | None | $44.67 | $50.12 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $63.10 | Professional | None | $44.67 | $44.67 | $63.10 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $269.15 Typical High $269.15 | Facility | None | $30.20 | $269.15 | $269.15 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $114.82 | Professional | None | $36.31 | $61.66 | $114.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $120.23 | Professional | None | $53.70 | $54.95 | $120.23 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Where Missouri sits
The same service costs 6.6 times more in Louisiana than in Wyoming. 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· 47th of 51
$30.20
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.