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 $16.98 Median $25.70 Typical High $36.31 | Facility | None | $16.98 | $25.70 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.98 Typical High $19.05 | Professional | None | $16.60 | $16.98 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $91.20 | Facility | None | $19.95 | $19.95 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $25.12 Typical High $46.77 | Professional | None | $8.91 | $25.12 | $46.77 |
BCBS Kansas City Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $38.02 | Facility | None | $13.49 | $17.38 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $43.65 Typical High $102.33 | Facility | None | $23.99 | $43.65 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $22.39 Typical High $38.02 | Professional | None | $10.47 | $22.39 | $38.02 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $34.67 Typical High $251.19 | Facility | None | $17.78 | $34.67 | $251.19 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $14.13 Typical High $23.44 | Professional | None | $8.32 | $14.13 | $23.44 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $8.32 Median $13.49 Typical High $25.70 | Professional | None | $8.32 | $13.49 | $25.70 |
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 $8.32 Median $8.51 Typical High $11.48 | Professional | 52 · Reduced service | $8.32 | $8.51 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.57 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.57 |
Where Missouri sits
The same service costs 5.5 times more in Kansas than in Georgia. 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
$22.39
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.