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 $26.92 Median $37.15 Typical High $54.95 | Facility | None | $26.92 | $37.15 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $30.20 | Professional | None | $26.30 | $26.92 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $144.54 | Facility | None | $30.90 | $30.90 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $42.66 Typical High $77.62 | Professional | None | $15.14 | $42.66 | $77.62 |
BCBS Kansas City Setting Facility Modifier None Typical Low $28.18 Median $37.15 Typical High $70.79 | Facility | None | $28.18 | $37.15 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $67.61 Typical High $177.83 | Facility | None | $40.74 | $67.61 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $35.48 Typical High $66.07 | Professional | None | $17.78 | $35.48 | $66.07 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $53.70 Typical High $218.78 | Facility | None | $28.18 | $53.70 | $218.78 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $39.81 | Professional | None | $13.80 | $21.88 | $39.81 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $12.88 Median $22.91 Typical High $40.74 | Professional | None | $12.88 | $22.91 | $40.74 |
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 $13.18 Median $13.18 Typical High $17.78 | Professional | 52 · Reduced service | $13.18 | $13.18 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.37 Typical High $7.08 | Professional | 53 · Discontinued | $5.25 | $5.37 | $7.08 |
Where Missouri sits
The same service costs 4.2 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· 11th of 51
$37.15
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.