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 $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | None (both parts) | $0.04 | $0.04 | $0.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.01 Median $15.14 Typical High $22.39 | Professional | None (both parts) | $5.01 | $15.14 | $22.39 |
BCBS Kansas City Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | None (both parts) | $12.30 | $12.30 | $15.49 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Missouri sits
The same service costs 3981.1 times more in Montana than in Tennessee. 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· 26th of 51
$15.14
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.