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 $23.99 Median $38.90 Typical High $52.48 | Facility | None | $23.99 | $38.90 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $33.11 | Professional | None | $23.99 | $24.55 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $131.83 | Facility | None | $28.18 | $28.18 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $36.31 Typical High $69.18 | Professional | None | $12.88 | $36.31 | $69.18 |
BCBS Kansas City Setting Facility Modifier None Typical Low $39.81 Median $52.48 Typical High $100.00 | Facility | None | $39.81 | $52.48 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $63.10 Typical High $151.36 | Facility | None | $34.67 | $63.10 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $32.36 Typical High $56.23 | Professional | None | $15.14 | $32.36 | $56.23 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $50.12 Typical High $181.97 | Facility | None | $25.70 | $50.12 | $181.97 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $37.15 | Professional | None | $12.88 | $20.42 | $37.15 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $12.02 Median $19.50 Typical High $38.02 | Professional | None | $12.02 | $19.50 | $38.02 |
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 $12.02 Median $12.30 Typical High $16.22 | Professional | 52 · Reduced service | $12.02 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.90 Typical High $6.61 | Professional | 53 · Discontinued | $4.79 | $4.90 | $6.61 |
Where Missouri sits
The same service costs 4.8 times more in Kansas than in Texas. 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· 13th of 51
$33.88
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.