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 $7.94 Median $12.30 Typical High $17.38 | Facility | None | $7.94 | $12.30 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | None | $7.94 | $7.94 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $43.65 | Facility | None | $9.33 | $9.33 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $11.75 Typical High $17.38 | Professional | None | $3.72 | $11.75 | $17.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $10.47 Median $13.49 Typical High $25.70 | Facility | None | $10.47 | $13.49 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $20.42 Typical High $38.90 | Facility | None | $8.91 | $20.42 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $10.72 Typical High $14.45 | Professional | None | $4.07 | $10.72 | $14.45 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $17.38 Typical High $100.00 | Facility | None | $8.51 | $17.38 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.89 Median $5.75 Typical High $11.22 | Professional | None | $3.89 | $5.75 | $11.22 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $12.59 | Professional | None | $3.89 | $5.62 | $12.59 |
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 $3.98 Median $3.98 Typical High $5.37 | Professional | 52 · Reduced service | $3.98 | $3.98 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.62 Typical High $2.14 | Professional | 53 · Discontinued | $1.58 | $1.62 | $2.14 |
Where Missouri sits
The same service costs 5.9 times more in Kansas than in Nebraska. 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
$10.72
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.