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 $15.49 Median $25.12 Typical High $37.15 | Facility | None | $15.49 | $25.12 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | None | $15.49 | $15.49 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $83.18 | Facility | None | $18.20 | $18.20 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $28.84 Typical High $45.71 | Professional | None | $8.91 | $28.84 | $45.71 |
BCBS Kansas City Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $75.86 | Facility | None | $30.90 | $39.81 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $39.81 Typical High $120.23 | Facility | None | $25.12 | $39.81 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $43.65 | Professional | None | $12.02 | $20.42 | $43.65 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $45.71 Typical High $107.15 | Facility | None | $16.22 | $45.71 | $107.15 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $12.88 Typical High $23.44 | Professional | None | $8.13 | $12.88 | $23.44 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $7.59 Median $13.49 Typical High $24.55 | Professional | None | $7.59 | $13.49 | $24.55 |
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 $7.76 Median $7.76 Typical High $10.47 | Professional | 52 · Reduced service | $7.76 | $7.76 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $4.17 | Professional | 53 · Discontinued | $3.09 | $3.09 | $4.17 |
Where Missouri sits
The same service costs 4.7 times more in Kansas than in Texas. 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
$21.88
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.