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 $87.10 Median $131.83 Typical High $190.55 | Facility | None | $87.10 | $131.83 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $117.49 | Professional | None | $87.10 | $89.13 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $478.63 | Facility | None | $102.33 | $102.33 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $162.18 Typical High $263.03 | Professional | None | $51.29 | $162.18 | $263.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $389.05 | Facility | None | $158.49 | $204.17 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $229.09 Typical High $602.56 | Facility | None | $117.49 | $229.09 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $117.49 Typical High $181.97 | Professional | None | $53.70 | $117.49 | $181.97 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $177.83 Typical High $489.78 | Facility | None | $93.33 | $177.83 | $489.78 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $128.82 | Professional | None | $46.77 | $74.13 | $128.82 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $138.04 | Professional | None | $43.65 | $75.86 | $138.04 |
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 $43.65 Median $44.67 Typical High $58.88 | Professional | 52 · Reduced service | $43.65 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $17.38 | $17.78 | $23.44 |
Where Missouri sits
The same service costs 5.1 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· 14th of 51
$123
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.