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 $57.54 Median $87.10 Typical High $123.03 | Facility | None | $57.54 | $87.10 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $77.62 | Professional | None | $57.54 | $57.54 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $309.03 | Facility | None | $67.61 | $67.61 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $107.15 Typical High $169.82 | Professional | None | $33.11 | $107.15 | $169.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $251.19 | Facility | None | $102.33 | $131.83 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $147.91 Typical High $354.81 | Facility | None | $69.18 | $147.91 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $75.86 Typical High $114.82 | Professional | None | $31.62 | $75.86 | $114.82 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $147.91 Typical High $316.23 | Facility | None | $60.26 | $147.91 | $316.23 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $85.11 | Professional | None | $30.20 | $47.86 | $85.11 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $91.20 | Professional | None | $28.18 | $50.12 | $91.20 |
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 $28.84 Median $28.84 Typical High $38.90 | Professional | 52 · Reduced service | $28.84 | $28.84 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $15.49 | Professional | 53 · Discontinued | $11.48 | $11.48 | $15.49 |
Where Missouri sits
The same service costs 3.3 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· 13th of 51
$81.28
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.