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 $6.17 Median $9.33 Typical High $13.18 | Facility | None | $6.17 | $9.33 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.17 Typical High $6.92 | Professional | None | $6.03 | $6.17 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $33.11 | Facility | None | $7.24 | $7.24 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $9.12 Typical High $17.38 | Professional | None | $3.24 | $9.12 | $17.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $7.08 Median $9.33 Typical High $17.38 | Facility | None | $7.08 | $9.33 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $37.15 | Facility | None | $8.71 | $15.85 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $8.13 Typical High $13.80 | Professional | None | $3.80 | $8.13 | $13.80 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $12.88 Typical High $100.00 | Facility | None | $6.46 | $12.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $5.13 Typical High $9.12 | Professional | None | $3.24 | $5.13 | $9.12 |
United Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.90 Typical High $9.77 | Professional | None | $3.02 | $4.90 | $9.77 |
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 $3.09 Median $3.09 Typical High $4.17 | Professional | 52 · Reduced service | $3.09 | $3.09 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.66 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.66 |
Where Missouri sits
The same service costs 4.1 times more in Kansas than in Kentucky. 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
$8.32
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.