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 $42.66 Median $64.57 Typical High $93.33 | Facility | None | $42.66 | $64.57 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $50.12 | Professional | None | $42.66 | $48.98 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $234.42 | Facility | None | $50.12 | $50.12 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $79.43 Typical High $128.82 | Professional | None | $25.12 | $79.43 | $128.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $190.55 | Facility | None | $75.86 | $100.00 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $338.84 | Facility | None | $66.07 | $112.20 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $57.54 Typical High $102.33 | Professional | None | $30.20 | $57.54 | $102.33 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $87.10 Typical High $239.88 | Facility | None | $45.71 | $87.10 | $239.88 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $63.10 | Professional | None | $22.91 | $35.48 | $63.10 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $21.38 Median $37.15 Typical High $67.61 | Professional | None | $21.38 | $37.15 | $67.61 |
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 $21.38 Median $21.88 Typical High $28.84 | Professional | 52 · Reduced service | $21.38 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $11.48 | Professional | 53 · Discontinued | $8.51 | $8.71 | $11.48 |
Where Missouri sits
The same service costs 3.8 times more in Kansas than in Texas. 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
$60.26
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.