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 $30.90 Median $46.77 Typical High $77.62 | Facility | None | $30.90 | $46.77 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $35.48 | Professional | None | $30.90 | $31.62 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $169.82 | Facility | None | $36.31 | $36.31 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $54.95 Typical High $93.33 | Professional | None | $18.20 | $54.95 | $93.33 |
BCBS Kansas City Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $138.04 | Facility | None | $56.23 | $72.44 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $81.28 Typical High $208.93 | Facility | None | $47.86 | $81.28 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $41.69 Typical High $77.62 | Professional | None | $21.38 | $41.69 | $77.62 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $64.57 Typical High $229.09 | Facility | None | $33.11 | $64.57 | $229.09 |
Medica Setting Professional Modifier None Typical Low $16.60 Median $26.30 Typical High $46.77 | Professional | None | $16.60 | $26.30 | $46.77 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $48.98 | Professional | None | $15.49 | $26.92 | $48.98 |
3 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 $15.49 Median $15.85 Typical High $20.89 | Professional | 52 · Reduced service | $15.49 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.31 Typical High $8.32 | Professional | 53 · Discontinued | $6.17 | $6.31 | $8.32 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 90 · Outside lab | $58.88 | $58.88 | $58.88 |
Where Missouri sits
The same service costs 3.3 times more in Kansas than in Maryland. 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· 14th of 51
$43.65
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.