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 $36.31 Typical High $91.20 | Facility | None | $25.70 | $36.31 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $23.99 Typical High $30.20 | Professional | None | $14.13 | $23.99 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $123.03 | Facility | None | $26.30 | $26.30 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $42.66 | Professional | None | $14.45 | $15.14 | $42.66 |
BCBS Kansas City Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $50.12 | Professional | None | $18.62 | $25.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $151.36 | Facility | None | $35.48 | $58.88 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $45.71 Typical High $125.89 | Facility | None | $23.99 | $45.71 | $125.89 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $186.21 Typical High $186.21 | Professional | None | $15.49 | $186.21 | $186.21 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $35.48 | Professional | None | $11.22 | $15.85 | $35.48 |
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 $11.22 Median $11.48 Typical High $12.88 | Professional | 52 · Reduced service | $11.22 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.57 Typical High $5.13 | Professional | 53 · Discontinued | $4.47 | $4.57 | $5.13 |
Where Missouri sits
The same service costs 5.6 times more in Alaska than in Delaware. 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· 36th of 51
$25.70
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.