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 $4.68 Median $7.08 Typical High $10.00 | Facility | None | $4.68 | $7.08 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.79 Typical High $5.89 | Professional | None | $4.68 | $4.79 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $25.12 | Facility | None | $5.50 | $5.50 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $7.59 Typical High $13.80 | Professional | None | $2.69 | $7.59 | $13.80 |
BCBS Kansas City Setting Facility Modifier None Typical Low $8.32 Median $10.96 Typical High $20.89 | Facility | None | $8.32 | $10.96 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $12.02 Typical High $31.62 | Facility | None | $7.41 | $12.02 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $6.31 Typical High $11.75 | Professional | None | $3.16 | $6.31 | $11.75 |
Medica Setting Facility Modifier None Typical Low $4.90 Median $9.77 Typical High $69.18 | Facility | None | $4.90 | $9.77 | $69.18 |
Medica Setting Professional Modifier None Typical Low $2.45 Median $3.89 Typical High $6.92 | Professional | None | $2.45 | $3.89 | $6.92 |
United Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
United Setting Professional Modifier None Typical Low $2.29 Median $4.07 Typical High $7.41 | Professional | None | $2.29 | $4.07 | $7.41 |
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 $2.34 Median $2.34 Typical High $3.16 | Professional | 52 · Reduced service | $2.34 | $2.34 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.95 Typical High $1.26 | Professional | 53 · Discontinued | $0.93 | $0.95 | $1.26 |
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· 12th of 51
$6.61
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.