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 $10.47 Median $16.98 Typical High $30.20 | Facility | None | $10.47 | $16.98 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $14.45 | Professional | None | $10.47 | $10.72 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $57.54 | Facility | None | $12.30 | $12.30 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $15.85 Typical High $27.54 | Professional | None | $5.62 | $15.85 | $27.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $16.22 Median $20.89 Typical High $39.81 | Facility | None | $16.22 | $20.89 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $27.54 Typical High $64.57 | Facility | None | $15.14 | $27.54 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $13.80 Typical High $24.55 | Professional | None | $6.61 | $13.80 | $24.55 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $27.54 Typical High $70.79 | Facility | None | $11.22 | $27.54 | $70.79 |
Medica Setting Professional Modifier None Typical Low $5.62 Median $8.91 Typical High $15.85 | Professional | None | $5.62 | $8.91 | $15.85 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $16.60 | Professional | None | $5.25 | $8.32 | $16.60 |
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 $5.25 Median $5.37 Typical High $7.08 | Professional | 52 · Reduced service | $5.25 | $5.37 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.14 Typical High $2.88 | Professional | 53 · Discontinued | $2.09 | $2.14 | $2.88 |
Where Missouri sits
The same service costs 6.5 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· 15th of 51
$14.45
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.