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 $33.11 Median $51.29 Typical High $72.44 | Facility | None | $33.11 | $51.29 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $41.69 | Professional | None | $33.11 | $33.88 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $181.97 | Facility | None | $38.90 | $38.90 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $70.79 | Professional | None | $23.44 | $37.15 | $70.79 |
BCBS Kansas City Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $107.15 | Facility | None | $54.95 | $60.26 | $107.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $74.13 | Professional | None | $27.54 | $38.90 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $87.10 Typical High $134.90 | Facility | None | $33.11 | $87.10 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $37.15 Typical High $51.29 | Professional | None | $18.62 | $37.15 | $51.29 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $69.18 Typical High $186.21 | Facility | None | $35.48 | $69.18 | $186.21 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $40.74 Typical High $194.98 | Professional | None | $19.50 | $40.74 | $194.98 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $52.48 | Professional | None | $16.60 | $23.44 | $52.48 |
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 $16.60 Median $16.98 Typical High $22.39 | Professional | 52 · Reduced service | $16.60 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $9.12 | Professional | 53 · Discontinued | $6.61 | $6.76 | $9.12 |
Where Missouri sits
The same service costs 6.6 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
$38.02
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.