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 $10.00 Median $16.22 Typical High $21.38 | Facility | None | $10.00 | $16.22 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $11.22 | Professional | None | $10.00 | $10.72 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $53.70 | Facility | None | $11.75 | $11.75 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $18.20 Typical High $29.51 | Professional | None | $5.75 | $18.20 | $29.51 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $43.65 | Facility | None | $17.78 | $22.91 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $25.70 Typical High $66.07 | Facility | None | $15.14 | $25.70 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $13.18 Typical High $24.55 | Professional | None | $6.76 | $13.18 | $24.55 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $26.30 Typical High $100.00 | Facility | None | $10.47 | $26.30 | $100.00 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $15.14 | Professional | None | $5.25 | $8.32 | $15.14 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $4.90 Median $8.71 Typical High $15.49 | Professional | None | $4.90 | $8.71 | $15.49 |
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 $4.90 Median $5.01 Typical High $6.76 | Professional | 52 · Reduced service | $4.90 | $5.01 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.69 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.69 |
Where Missouri sits
The same service costs 5.0 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· 16th of 51
$13.80
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.