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 $5.75 Median $9.33 Typical High $13.18 | Facility | None | $5.75 | $9.33 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $7.76 | Professional | None | $5.75 | $5.89 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $31.62 | Facility | None | $6.76 | $6.76 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $9.55 Typical High $17.38 | Professional | None | $3.39 | $9.55 | $17.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $10.47 Median $13.49 Typical High $25.70 | Facility | None | $10.47 | $13.49 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $15.14 Typical High $38.90 | Facility | None | $8.91 | $15.14 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $7.76 Typical High $14.45 | Professional | None | $3.98 | $7.76 | $14.45 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $17.38 Typical High $100.00 | Facility | None | $6.17 | $17.38 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.09 Median $4.90 Typical High $8.91 | Professional | None | $3.09 | $4.90 | $8.91 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
United Setting Professional Modifier None Typical Low $2.88 Median $5.01 Typical High $9.12 | Professional | None | $2.88 | $5.01 | $9.12 |
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 $2.88 Median $2.95 Typical High $3.89 | Professional | 52 · Reduced service | $2.88 | $2.95 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.17 Typical High $1.58 | Professional | 53 · Discontinued | $1.15 | $1.17 | $1.58 |
Where Missouri sits
The same service costs 3.3 times more in Kansas than in Delaware. 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
$8.13
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.