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 $19.50 Median $30.20 Typical High $61.66 | Facility | None | $19.50 | $30.20 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $23.99 | Professional | None | $15.49 | $19.95 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $107.15 | Facility | None | $22.91 | $22.91 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $28.18 Typical High $43.65 | Professional | None | $9.12 | $28.18 | $43.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $25.70 Median $33.88 Typical High $63.10 | Facility | None | $25.70 | $33.88 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $50.12 Typical High $95.50 | Facility | None | $22.39 | $50.12 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $26.30 Typical High $35.48 | Professional | None | $9.77 | $26.30 | $35.48 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $42.66 Typical High $245.47 | Facility | None | $20.89 | $42.66 | $245.47 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $27.54 | Professional | None | $9.55 | $14.13 | $27.54 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $30.90 | Professional | None | $9.55 | $13.80 | $30.90 |
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 $9.77 Median $9.77 Typical High $13.18 | Professional | 52 · Reduced service | $9.77 | $9.77 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.98 Typical High $5.25 | Professional | 53 · Discontinued | $3.89 | $3.98 | $5.25 |
Where Missouri sits
The same service costs 4.9 times more in Kansas than in Kentucky. 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
$25.12
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.