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 $33.88 Typical High $47.86 | Facility | None | $23.99 | $33.88 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $29.51 | Professional | None | $23.99 | $25.70 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $128.82 | Facility | None | $28.18 | $28.18 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $28.84 Typical High $50.12 | Professional | None | $13.80 | $28.84 | $50.12 |
BCBS Kansas City Setting Facility Modifier None Typical Low $29.51 Median $56.23 Typical High $107.15 | Facility | None | $29.51 | $56.23 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $61.66 Typical High $158.49 | Facility | None | $37.15 | $61.66 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $31.62 Typical High $58.88 | Professional | None | $16.22 | $31.62 | $58.88 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $138.04 | Facility | None | $25.12 | $46.77 | $138.04 |
Medica Setting Professional Modifier None Typical Low $11.75 Median $18.62 Typical High $34.67 | Professional | None | $11.75 | $18.62 | $34.67 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $38.02 | Professional | None | $11.75 | $16.98 | $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 $12.02 Typical High $16.22 | Professional | 52 · Reduced service | $12.02 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.46 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.46 |
Where Missouri sits
The same service costs 4.8 times more in Kansas than in Alabama. 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· 23rd of 51
$28.84
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.