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 $24.55 Median $37.15 Typical High $52.48 | Facility | None | $24.55 | $37.15 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $28.18 | Professional | None | $24.55 | $26.30 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $131.83 | Facility | None | $28.84 | $28.84 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $39.81 Typical High $60.26 | Professional | None | $14.13 | $39.81 | $60.26 |
BCBS Kansas City Setting Facility Modifier None Typical Low $43.65 Median $57.54 Typical High $109.65 | Facility | None | $43.65 | $57.54 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $63.10 Typical High $165.96 | Facility | None | $38.02 | $63.10 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $32.36 Typical High $60.26 | Professional | None | $16.60 | $32.36 | $60.26 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $50.12 Typical High $177.83 | Facility | None | $25.70 | $50.12 | $177.83 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $36.31 | Professional | None | $12.88 | $20.42 | $36.31 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $12.02 Median $19.05 Typical High $38.90 | Professional | None | $12.02 | $19.05 | $38.90 |
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 $12.30 Median $12.30 Typical High $16.60 | Professional | 52 · Reduced service | $12.30 | $12.30 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $6.61 | Professional | 53 · Discontinued | $4.90 | $5.01 | $6.61 |
Where Missouri sits
The same service costs 5.5 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· 14th of 51
$33.88
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.