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 $10.00 Median $16.22 Typical High $21.88 | Facility | None | $10.00 | $16.22 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $13.80 | Professional | None | $10.00 | $10.23 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $54.95 | Facility | None | $11.75 | $11.75 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $18.62 Typical High $30.20 | Professional | None | $5.89 | $18.62 | $30.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $13.18 Median $16.98 Typical High $32.36 | Facility | None | $13.18 | $16.98 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $26.30 Typical High $67.61 | Facility | None | $15.49 | $26.30 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $13.49 Typical High $25.12 | Professional | None | $6.92 | $13.49 | $25.12 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $22.39 Typical High $81.28 | Facility | None | $10.72 | $22.39 | $81.28 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $8.51 Typical High $15.49 | Professional | None | $5.37 | $8.51 | $15.49 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.71 Typical High $15.85 | Professional | None | $5.01 | $8.71 | $15.85 |
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 $5.01 Median $5.13 Typical High $6.76 | Professional | 52 · Reduced service | $5.01 | $5.13 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.75 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.75 |
Where Missouri sits
The same service costs 4.1 times more in Kansas than in Oklahoma. 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
$14.13
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.