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 $6.76 Median $10.96 Typical High $25.70 | Facility | None | $6.76 | $10.96 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.41 Typical High $7.94 | Professional | None | $6.76 | $7.41 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $37.15 | Facility | None | $7.94 | $7.94 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $10.96 Typical High $19.95 | Professional | None | $3.98 | $10.96 | $19.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $12.02 Median $15.85 Typical High $30.20 | Facility | None | $12.02 | $15.85 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $17.38 Typical High $44.67 | Facility | None | $10.47 | $17.38 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $9.12 Typical High $16.98 | Professional | None | $4.57 | $9.12 | $16.98 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $13.80 Typical High $79.43 | Facility | None | $7.24 | $13.80 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.63 Median $5.62 Typical High $10.23 | Professional | None | $3.63 | $5.62 | $10.23 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.89 Typical High $10.72 | Professional | None | $3.39 | $5.89 | $10.72 |
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 $3.39 Median $3.47 Typical High $4.57 | Professional | 52 · Reduced service | $3.39 | $3.47 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.38 Typical High $1.82 | Professional | 53 · Discontinued | $1.35 | $1.38 | $1.82 |
Where Missouri sits
The same service costs 4.5 times more in Kansas than in New Jersey. 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· 11th of 51
$9.55
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.