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 $16.22 Median $24.55 Typical High $61.66 | Facility | None | $16.22 | $24.55 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $18.62 | Professional | None | $16.22 | $16.22 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $87.10 | Facility | None | $19.05 | $19.05 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $25.12 Typical High $36.31 | Professional | None | $9.33 | $25.12 | $36.31 |
BCBS Kansas City Setting Facility Modifier None Typical Low $28.84 Median $38.02 Typical High $72.44 | Facility | None | $28.84 | $38.02 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $109.65 | Facility | None | $25.12 | $41.69 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $40.74 | Professional | None | $10.96 | $21.88 | $40.74 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $38.02 Typical High $147.91 | Facility | None | $16.98 | $38.02 | $147.91 |
Medica Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $24.55 | Professional | None | $8.51 | $12.59 | $24.55 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $25.70 | Professional | None | $7.94 | $11.75 | $25.70 |
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 $8.13 Median $8.13 Typical High $10.96 | Professional | 52 · Reduced service | $8.13 | $8.13 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $4.37 | Professional | 53 · Discontinued | $3.24 | $3.24 | $4.37 |
Where Missouri sits
The same service costs 5.5 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· 14th of 51
$22.39
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.