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 $21.88 Median $33.11 Typical High $47.86 | Facility | None | $21.88 | $33.11 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $29.51 | Professional | None | $21.88 | $22.39 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $120.23 | Facility | None | $25.70 | $25.70 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $38.90 Typical High $64.57 | Professional | None | $12.88 | $38.90 | $64.57 |
BCBS Kansas City Setting Facility Modifier None Typical Low $38.90 Median $51.29 Typical High $97.72 | Facility | None | $38.90 | $51.29 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $147.91 | Facility | None | $33.88 | $56.23 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $29.51 Typical High $54.95 | Professional | None | $14.79 | $29.51 | $54.95 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $128.82 | Facility | None | $23.44 | $45.71 | $128.82 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $18.20 Typical High $32.36 | Professional | None | $11.48 | $18.20 | $32.36 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $34.67 | Professional | None | $10.96 | $19.05 | $34.67 |
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 $10.96 Median $11.22 Typical High $14.79 | Professional | 52 · Reduced service | $10.96 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.47 Typical High $5.89 | Professional | 53 · Discontinued | $4.37 | $4.47 | $5.89 |
Where Missouri sits
The same service costs 4.0 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· 12th of 51
$30.90
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.