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 $45.71 Median $79.43 Typical High $158.49 | Facility | None | $45.71 | $79.43 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $53.70 | Professional | None | $21.38 | $33.88 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $213.80 | Facility | None | $46.77 | $46.77 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $18.62 Typical High $52.48 | Professional | None | $11.75 | $18.62 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $83.18 Typical High $147.91 | Facility | None | $13.49 | $83.18 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $67.61 Typical High $218.78 | Facility | None | $19.50 | $67.61 | $218.78 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $27.54 Typical High $56.23 | Professional | None | $11.75 | $27.54 | $56.23 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $11.75 Median $27.54 Typical High $60.26 | Professional | None | $11.75 | $27.54 | $60.26 |
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 $19.50 Median $19.95 Typical High $26.92 | Professional | 52 · Reduced service | $19.50 | $19.95 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | 53 · Discontinued | $7.94 | $7.94 | $10.72 |
Where Missouri sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 38th 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.