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 $17.38 Median $28.18 Typical High $70.79 | Facility | None | $17.38 | $28.18 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $18.62 Typical High $19.95 | Professional | None | $17.38 | $18.62 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $93.33 | Facility | None | $20.42 | $20.42 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $26.30 Typical High $36.31 | Professional | None | $10.00 | $26.30 | $36.31 |
BCBS Kansas City Setting Facility Modifier None Typical Low $30.90 Median $40.74 Typical High $77.62 | Facility | None | $30.90 | $40.74 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $44.67 Typical High $117.49 | Facility | None | $26.92 | $44.67 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $22.91 Typical High $43.65 | Professional | None | $11.75 | $22.91 | $43.65 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $38.02 Typical High $141.25 | Facility | None | $18.20 | $38.02 | $141.25 |
Medica Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $26.30 | Professional | None | $9.12 | $14.45 | $26.30 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $27.54 | Professional | None | $8.51 | $12.30 | $27.54 |
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 $8.71 Median $8.71 Typical High $11.75 | Professional | 52 · Reduced service | $8.71 | $8.71 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $4.68 | Professional | 53 · Discontinued | $3.47 | $3.55 | $4.68 |
Where Missouri sits
The same service costs 4.7 times more in Kansas than in West Virginia. 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· 18th of 51
$23.99
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.