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 $19.05 Median $29.51 Typical High $41.69 | Facility | None | $19.05 | $29.51 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.50 Typical High $23.99 | Professional | None | $19.05 | $19.50 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $104.71 | Facility | None | $22.91 | $22.91 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $31.62 Typical High $57.54 | Professional | None | $11.22 | $31.62 | $57.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $85.11 | Facility | None | $34.67 | $44.67 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $128.82 | Facility | None | $30.20 | $50.12 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $25.70 Typical High $47.86 | Professional | None | $13.18 | $25.70 | $47.86 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $39.81 Typical High $138.04 | Facility | None | $20.42 | $39.81 | $138.04 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $28.18 | Professional | None | $10.23 | $16.22 | $28.18 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $9.55 Median $16.60 Typical High $30.20 | Professional | None | $9.55 | $16.60 | $30.20 |
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 $9.55 Median $9.77 Typical High $12.88 | Professional | 52 · Reduced service | $9.55 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $5.25 | Professional | 53 · Discontinued | $3.89 | $3.89 | $5.25 |
Where Missouri sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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· 15th of 51
$26.92
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.