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 $8.32 Median $10.72 Typical High $20.89 | Facility | None | $8.32 | $10.72 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $9.33 | Professional | None | $8.32 | $8.91 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $44.67 | Facility | None | $9.77 | $9.77 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $14.45 Typical High $24.55 | Professional | None | $4.79 | $14.45 | $24.55 |
BCBS Kansas City Setting Facility Modifier None Typical Low $14.79 Median $19.50 Typical High $36.31 | Facility | None | $14.79 | $19.50 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $21.38 Typical High $54.95 | Facility | None | $12.88 | $21.38 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $10.96 Typical High $20.89 | Professional | None | $5.62 | $10.96 | $20.89 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $24.55 Typical High $100.00 | Facility | None | $8.71 | $24.55 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.37 Median $6.92 Typical High $12.30 | Professional | None | $4.37 | $6.92 | $12.30 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $4.07 Median $7.24 Typical High $13.18 | Professional | None | $4.07 | $7.24 | $13.18 |
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 $4.17 Median $4.17 Typical High $5.62 | Professional | 52 · Reduced service | $4.17 | $4.17 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $2.24 | Professional | 53 · Discontinued | $1.66 | $1.66 | $2.24 |
Where Missouri sits
The same service costs 4.4 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· 14th of 51
$11.75
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.