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 $21.38 Median $32.36 Typical High $46.77 | Facility | None | $21.38 | $32.36 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $24.55 | Professional | None | $21.38 | $21.88 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $117.49 | Facility | None | $25.12 | $25.12 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $39.81 Typical High $61.66 | Professional | None | $11.75 | $39.81 | $61.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $35.48 Median $46.77 Typical High $89.13 | Facility | None | $35.48 | $46.77 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $54.95 Typical High $134.90 | Facility | None | $30.90 | $54.95 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $28.84 Typical High $50.12 | Professional | None | $13.80 | $28.84 | $50.12 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $43.65 Typical High $120.23 | Facility | None | $22.91 | $43.65 | $120.23 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $31.62 | Professional | None | $11.22 | $17.78 | $31.62 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $10.47 Median $17.38 Typical High $33.88 | Professional | None | $10.47 | $17.38 | $33.88 |
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 $10.72 Median $10.96 Typical High $14.45 | Professional | 52 · Reduced service | $10.72 | $10.96 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $5.75 | Professional | 53 · Discontinued | $4.27 | $4.37 | $5.75 |
Where Missouri sits
The same service costs 3.5 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· 15th of 51
$29.51
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.