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 $31.62 Median $38.90 Typical High $54.95 | Facility | None | $31.62 | $38.90 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | None | $31.62 | $31.62 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $43.65 Typical High $85.11 | Facility | None | $32.36 | $43.65 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $38.90 | Professional | None | $29.51 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $54.95 Typical High $61.66 | Facility | None | $38.02 | $54.95 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $162.18 Typical High $213.80 | Facility | None | $31.62 | $162.18 | $213.80 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $354.81 | Professional | None | $32.36 | $32.36 | $354.81 |
United Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $37.15 | Professional | None | $31.62 | $32.36 | $37.15 |
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 $15.85 Median $15.85 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $15.85 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.76 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.76 |
Where Missouri sits
The same service costs 3.5 times more in Montana than in North Dakota. 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
$33.11
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.