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 $6.92 Median $10.47 Typical High $14.79 | Facility | None | $6.92 | $10.47 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.51 | Professional | None | $6.92 | $6.92 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $37.15 | Facility | None | $8.13 | $8.13 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $10.00 Typical High $17.38 | Professional | None | $3.31 | $10.00 | $17.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $10.23 Median $13.18 Typical High $25.12 | Facility | None | $10.23 | $13.18 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $17.78 Typical High $38.90 | Facility | None | $8.91 | $17.78 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $9.12 Typical High $13.80 | Professional | None | $3.89 | $9.12 | $13.80 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $14.13 Typical High $60.26 | Facility | None | $7.24 | $14.13 | $60.26 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $5.62 Typical High $9.77 | Professional | None | $3.39 | $5.62 | $9.77 |
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 $5.01 Typical High $10.96 | Professional | None | $3.39 | $5.01 | $10.96 |
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 $3.47 Median $3.47 Typical High $4.68 | Professional | 52 · Reduced service | $3.47 | $3.47 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.86 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.86 |
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· 17th of 51
$9.33
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.