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 $3.98 Median $6.03 Typical High $9.33 | Facility | None | $3.98 | $6.03 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.07 Typical High $5.37 | Professional | None | $3.98 | $4.07 | $5.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $21.88 | Facility | None | $4.68 | $4.68 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.98 Typical High $8.32 | Professional | None | $2.14 | $3.98 | $8.32 |
BCBS Kansas City Setting Facility Modifier None Typical Low $6.61 Median $8.51 Typical High $16.22 | Facility | None | $6.61 | $8.51 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $10.23 Typical High $23.99 | Facility | None | $5.75 | $10.23 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $5.13 Typical High $9.33 | Professional | None | $2.45 | $5.13 | $9.33 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $8.13 Typical High $100.00 | Facility | None | $4.27 | $8.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $3.16 Typical High $6.03 | Professional | None | $1.95 | $3.16 | $6.03 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $6.31 | Professional | None | $1.95 | $2.82 | $6.31 |
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 $2.00 Median $2.04 Typical High $2.69 | Professional | 52 · Reduced service | $2.00 | $2.04 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.81 Typical High $1.07 | Professional | 53 · Discontinued | $0.79 | $0.81 | $1.07 |
Where Missouri sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 35th of 51
$3.98
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.