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 $18.20 Median $25.70 Typical High $38.90 | Facility | None | $18.20 | $25.70 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.50 Typical High $22.39 | Professional | None | $18.20 | $19.50 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $97.72 | Facility | None | $21.38 | $21.38 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $29.51 Typical High $53.70 | Professional | None | $10.47 | $29.51 | $53.70 |
BCBS Kansas City Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $79.43 | Facility | None | $32.36 | $42.66 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $46.77 Typical High $120.23 | Facility | None | $28.18 | $46.77 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $23.99 Typical High $44.67 | Professional | None | $12.30 | $23.99 | $44.67 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $181.97 | Facility | None | $19.05 | $48.98 | $181.97 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $27.54 | Professional | None | $9.55 | $15.14 | $27.54 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $8.91 Median $15.85 Typical High $28.84 | Professional | None | $8.91 | $15.85 | $28.84 |
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 $9.12 Median $9.12 Typical High $12.30 | Professional | 52 · Reduced service | $9.12 | $9.12 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.90 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.90 |
Where Missouri sits
The same service costs 4.1 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
$25.70
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.