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 $7.76 Median $12.59 Typical High $27.54 | Facility | None | $7.76 | $12.59 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $7.76 Typical High $9.55 | Professional | None | $4.79 | $7.76 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $41.69 | Facility | None | $9.12 | $9.12 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $12.30 Typical High $22.39 | Professional | None | $4.37 | $12.30 | $22.39 |
BCBS Kansas City Setting Facility Modifier None Typical Low $13.49 Median $17.78 Typical High $33.88 | Facility | None | $13.49 | $17.78 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $19.95 Typical High $51.29 | Facility | None | $11.75 | $19.95 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $10.23 Typical High $18.62 | Professional | None | $5.13 | $10.23 | $18.62 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $22.91 Typical High $100.00 | Facility | None | $8.13 | $22.91 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $6.46 Typical High $11.75 | Professional | None | $4.07 | $6.46 | $11.75 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
United Setting Professional Modifier None Typical Low $3.80 Median $6.61 Typical High $12.30 | Professional | None | $3.80 | $6.61 | $12.30 |
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 $3.89 Median $3.89 Typical High $5.25 | Professional | 52 · Reduced service | $3.89 | $3.89 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.58 Typical High $2.09 | Professional | 53 · Discontinued | $1.55 | $1.58 | $2.09 |
Where Missouri sits
The same service costs 5.9 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
$10.96
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.