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 $66.07 Median $66.07 Typical High $74.13 | Facility | None | $66.07 | $66.07 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $81.28 | Professional | None | $63.10 | $70.79 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $275.42 | Professional | None | $53.70 | $91.20 | $275.42 |
BCBS Kansas City Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $316.23 | Professional | None | $281.84 | $281.84 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $147.91 Typical High $407.38 | Facility | None | $41.69 | $147.91 | $407.38 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $478.63 Typical High $851.14 | Professional | None | $158.49 | $478.63 | $851.14 |
United Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $524.81 | Professional | None | $158.49 | $208.93 | $524.81 |
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 $31.62 Median $35.48 Typical High $40.74 | Professional | 52 · Reduced service | $31.62 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.13 Typical High $16.22 | Professional | 53 · Discontinued | $12.59 | $14.13 | $16.22 |
Where Missouri sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 13th of 51
$174
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.