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 $8.32 Median $10.23 Typical High $20.89 | Facility | None | $8.32 | $10.23 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $13.18 Typical High $19.05 | Professional | None | $8.32 | $13.18 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $28.18 | Professional | None | $16.98 | $20.89 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $19.95 | Professional | None | $8.13 | $13.80 | $19.95 |
BCBS Kansas City Setting Professional Modifier None Typical Low $8.32 Median $18.62 Typical High $24.55 | Professional | None | $8.32 | $18.62 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $26.30 Typical High $61.66 | Facility | None | $10.00 | $26.30 | $61.66 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $66.07 Typical High $114.82 | Professional | None | $16.60 | $66.07 | $114.82 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Facility | None | $117.49 | $117.49 | $125.89 |
United Setting Professional Modifier None Typical Low $8.71 Median $16.22 Typical High $25.12 | Professional | None | $8.71 | $16.22 | $25.12 |
3 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 $4.17 Median $5.50 Typical High $9.12 | Professional | 52 · Reduced service | $4.17 | $5.50 | $9.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $14.45 Median $16.98 Typical High $24.55 | Professional | 59 · Distinct service | $14.45 | $16.98 | $24.55 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 59 · Distinct service | $25.12 | $26.30 | $29.51 |
Where Missouri sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 22nd of 51
$16.60
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.