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 $39.81 Median $61.66 Typical High $87.10 | Facility | None | $39.81 | $61.66 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $50.12 | Professional | None | $39.81 | $40.74 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $218.78 | Facility | None | $46.77 | $46.77 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $85.11 | Professional | None | $28.18 | $44.67 | $85.11 |
BCBS Kansas City Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $89.13 | Professional | None | $33.11 | $46.77 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $104.71 Typical High $173.78 | Facility | None | $42.66 | $104.71 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $44.67 Typical High $61.66 | Professional | None | $22.39 | $44.67 | $61.66 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $81.28 Typical High $275.42 | Facility | None | $42.66 | $81.28 | $275.42 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $48.98 Typical High $234.42 | Professional | None | $23.44 | $48.98 | $234.42 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $63.10 | Professional | None | $19.95 | $28.18 | $63.10 |
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 $19.95 Median $20.42 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $20.42 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $10.96 | Professional | 53 · Discontinued | $7.94 | $8.13 | $10.96 |
Where Missouri sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 34th of 51
$45.71
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.