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 $15.49 Median $22.91 Typical High $38.02 | Facility | None | $15.49 | $22.91 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $18.62 | Professional | None | $15.14 | $16.22 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $83.18 | Facility | None | $17.78 | $17.78 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $23.44 Typical High $32.36 | Professional | None | $8.91 | $23.44 | $32.36 |
BCBS Kansas City Setting Facility Modifier None Typical Low $27.54 Median $35.48 Typical High $67.61 | Facility | None | $27.54 | $35.48 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $39.81 Typical High $102.33 | Facility | None | $23.44 | $39.81 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $38.02 | Professional | None | $10.23 | $20.42 | $38.02 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $30.90 Typical High $158.49 | Facility | None | $16.22 | $30.90 | $158.49 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $22.39 | Professional | None | $8.13 | $12.30 | $22.39 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.75 Typical High $23.99 | Professional | None | $7.59 | $11.75 | $23.99 |
3 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 $7.59 Median $7.76 Typical High $10.23 | Professional | 52 · Reduced service | $7.59 | $7.76 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.09 Typical High $4.07 | Professional | 53 · Discontinued | $3.02 | $3.09 | $4.07 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 90 · Outside lab | $22.39 | $22.39 | $22.39 |
Where Missouri sits
The same service costs 7.4 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· 19th of 51
$20.89
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.