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 $27.54 Median $38.90 Typical High $89.13 | Facility | None | $27.54 | $38.90 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $33.88 | Professional | None | $27.54 | $28.18 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $147.91 | Facility | None | $32.36 | $32.36 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $57.54 | Professional | None | $12.88 | $15.85 | $57.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $15.85 Median $64.57 Typical High $123.03 | Facility | None | $15.85 | $64.57 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $181.97 | Facility | None | $42.66 | $70.79 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $37.15 Typical High $54.95 | Professional | None | $18.62 | $37.15 | $54.95 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $53.70 Typical High $275.42 | Facility | None | $20.89 | $53.70 | $275.42 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $39.81 | Professional | None | $13.49 | $22.91 | $39.81 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $43.65 | Professional | None | $13.49 | $19.50 | $43.65 |
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 $13.80 Median $13.80 Typical High $18.62 | Professional | 52 · Reduced service | $13.80 | $13.80 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $7.41 | Professional | 53 · Discontinued | $5.50 | $5.62 | $7.41 |
Where Missouri sits
The same service costs 4.1 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· 49th of 51
$24.55
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.