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 $12.59 Typical High $17.78 | Facility | None | $8.32 | $12.59 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $11.22 | Professional | None | $8.32 | $8.32 | $11.22 |
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 $4.27 Median $14.79 Typical High $22.39 | Professional | None | $4.27 | $14.79 | $22.39 |
BCBS Kansas City Setting Facility Modifier None Typical Low $13.18 Median $16.98 Typical High $32.36 | Facility | None | $13.18 | $16.98 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $21.38 Typical High $48.98 | Facility | None | $11.48 | $21.38 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $10.96 Typical High $18.20 | Professional | None | $5.13 | $10.96 | $18.20 |
Medica Setting Facility Modifier None Typical Low $8.71 Median $16.98 Typical High $100.00 | Facility | None | $8.71 | $16.98 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $6.92 Typical High $11.75 | Professional | None | $4.27 | $6.92 | $11.75 |
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 $6.31 Typical High $13.18 | Professional | None | $4.07 | $6.31 | $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 $1.70 Typical High $2.24 | Professional | 53 · Discontinued | $1.66 | $1.70 | $2.24 |
Where Missouri sits
The same service costs 3.6 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
$11.22
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.