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 $9.55 Median $14.45 Typical High $23.99 | Facility | None | $9.55 | $14.45 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.77 Typical High $10.72 | Professional | None | $9.55 | $9.77 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $51.29 | Facility | None | $11.22 | $11.22 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $16.60 Typical High $28.18 | Professional | None | $5.50 | $16.60 | $28.18 |
BCBS Kansas City Setting Facility Modifier None Typical Low $16.98 Median $22.39 Typical High $41.69 | Facility | None | $16.98 | $22.39 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $24.55 Typical High $64.57 | Facility | None | $14.79 | $24.55 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $12.59 Typical High $23.99 | Professional | None | $6.46 | $12.59 | $23.99 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $19.50 Typical High $100.00 | Facility | None | $10.00 | $19.50 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $14.13 | Professional | None | $5.01 | $7.94 | $14.13 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $4.68 Median $8.32 Typical High $15.14 | Professional | None | $4.68 | $8.32 | $15.14 |
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 $4.79 Median $4.79 Typical High $6.46 | Professional | 52 · Reduced service | $4.79 | $4.79 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.57 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.57 |
Where Missouri sits
The same service costs 3.5 times more in Kansas than in Kentucky. 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
$13.49
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.