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 $6.46 Median $10.47 Typical High $14.13 | Facility | None | $6.46 | $10.47 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.61 Typical High $8.71 | Professional | None | $6.46 | $6.61 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $35.48 | Facility | None | $7.59 | $7.59 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $10.96 Typical High $19.05 | Professional | None | $3.63 | $10.96 | $19.05 |
BCBS Kansas City Setting Facility Modifier None Typical Low $11.22 Median $14.79 Typical High $27.54 | Facility | None | $11.22 | $14.79 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $16.98 Typical High $41.69 | Facility | None | $10.00 | $16.98 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $8.91 Typical High $15.49 | Professional | None | $4.27 | $8.91 | $15.49 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $18.20 Typical High $100.00 | Facility | None | $6.92 | $18.20 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $5.50 Typical High $10.00 | Professional | None | $3.47 | $5.50 | $10.00 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.50 Typical High $10.23 | Professional | None | $3.24 | $5.50 | $10.23 |
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 $3.24 Median $3.31 Typical High $4.37 | Professional | 52 · Reduced service | $3.24 | $3.31 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.32 Typical High $1.78 | Professional | 53 · Discontinued | $1.29 | $1.32 | $1.78 |
Where Missouri sits
The same service costs 3.8 times more in Kansas than in New Jersey. 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· 16th of 51
$9.12
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.