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 $5.01 Median $6.17 Typical High $61.66 | Facility | None | $5.01 | $6.17 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $32.36 Typical High $56.23 | Professional | None | $5.01 | $32.36 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $38.90 Typical High $63.10 | Professional | None | $5.01 | $38.90 | $63.10 |
BCBS Kansas City Setting Professional Modifier None Typical Low $5.62 Median $61.66 Typical High $87.10 | Professional | None | $5.62 | $61.66 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $30.90 Typical High $194.98 | Facility | None | $5.75 | $30.90 | $194.98 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $204.17 Typical High $363.08 | Professional | None | $52.48 | $204.17 | $363.08 |
United Setting Professional Modifier None Typical Low $5.25 Median $43.65 Typical High $77.62 | Professional | None | $5.25 | $43.65 | $77.62 |
1 more rate 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 53 · Discontinued Typical Low $1.00 Median $6.46 Typical High $11.22 | Professional | 53 · Discontinued | $1.00 | $6.46 | $11.22 |
Where Missouri sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 37th of 51
$51.29
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.