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 $1.82 Median $3.02 Typical High $3.98 | Facility | None | $1.82 | $3.02 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $1.95 Typical High $2.57 | Professional | None | $1.82 | $1.95 | $2.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $10.00 | Facility | None | $2.19 | $2.19 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $3.09 Typical High $5.50 | Professional | None | $1.07 | $3.09 | $5.50 |
BCBS Kansas City Setting Facility Modifier None Typical Low $3.31 Median $4.27 Typical High $8.13 | Facility | None | $3.31 | $4.27 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $4.79 Typical High $12.02 | Facility | None | $2.88 | $4.79 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $1.23 Median $2.57 Typical High $4.68 | Professional | None | $1.23 | $2.57 | $4.68 |
Medica Setting Facility Modifier None Typical Low $1.95 Median $5.37 Typical High $100.00 | Facility | None | $1.95 | $5.37 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $3.24 | Professional | None | $1.29 | $2.19 | $3.24 |
United Setting Facility Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Facility | None | $1.95 | $1.95 | $1.95 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $3.39 | Professional | None | $1.29 | $2.19 | $3.39 |
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 $0.91 Median $0.93 Typical High $1.26 | Professional | 52 · Reduced service | $0.91 | $0.93 | $1.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.37 Typical High $0.50 | Professional | 53 · Discontinued | $0.37 | $0.37 | $0.50 |
Where Missouri sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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· 16th of 51
$2.57
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.