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 $67.61 Median $104.71 Typical High $147.91 | Facility | None | $67.61 | $104.71 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $85.11 | Professional | None | $58.88 | $69.18 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $371.54 | Facility | None | $81.28 | $81.28 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $112.20 Typical High $204.17 | Professional | None | $13.18 | $112.20 | $204.17 |
BCBS Kansas City Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $302.00 | Facility | None | $123.03 | $158.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $524.81 | Facility | None | $100.00 | $158.49 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $91.20 Typical High $154.88 | Professional | None | $33.88 | $91.20 | $154.88 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $141.25 Typical High $380.19 | Facility | None | $72.44 | $141.25 | $380.19 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $57.54 Typical High $100.00 | Professional | None | $36.31 | $57.54 | $100.00 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $107.15 | Professional | None | $33.88 | $58.88 | $107.15 |
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 $33.88 Median $34.67 Typical High $45.71 | Professional | 52 · Reduced service | $33.88 | $34.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $18.62 | Professional | 53 · Discontinued | $13.80 | $13.80 | $18.62 |
Where Missouri sits
The same service costs 4.6 times more in Kansas than in Alabama. 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· 11th of 51
$95.50
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.