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 $15.14 Median $22.91 Typical High $32.36 | Facility | None | $15.14 | $22.91 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | None | $15.14 | $15.14 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $81.28 | Facility | None | $17.78 | $17.78 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $24.55 Typical High $42.66 | Professional | None | $8.71 | $24.55 | $42.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $26.92 Median $35.48 Typical High $66.07 | Facility | None | $26.92 | $35.48 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $102.33 | Facility | None | $23.44 | $38.90 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $38.02 | Professional | None | $10.23 | $20.42 | $38.02 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $30.90 Typical High $100.00 | Facility | None | $15.85 | $30.90 | $100.00 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $22.91 | Professional | None | $7.94 | $12.59 | $22.91 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $23.99 | Professional | None | $7.41 | $13.18 | $23.99 |
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 $7.59 Median $7.59 Typical High $10.23 | Professional | 52 · Reduced service | $7.59 | $7.59 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $4.07 | Professional | 53 · Discontinued | $3.02 | $3.02 | $4.07 |
Where Missouri sits
The same service costs 3.6 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
$21.38
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.