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 $3.72 Median $5.37 Typical High $9.33 | Facility | None | $3.72 | $5.37 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $5.01 | Professional | None | $3.72 | $4.07 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $20.42 | Facility | None | $4.37 | $4.37 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $6.31 Typical High $11.22 | Professional | None | $2.19 | $6.31 | $11.22 |
BCBS Kansas City Setting Facility Modifier None Typical Low $6.76 Median $8.71 Typical High $16.60 | Facility | None | $6.76 | $8.71 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $9.77 Typical High $25.70 | Facility | None | $5.75 | $9.77 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $5.13 Typical High $9.33 | Professional | None | $2.57 | $5.13 | $9.33 |
Medica Setting Facility Modifier None Typical Low $3.98 Median $10.23 Typical High $100.00 | Facility | None | $3.98 | $10.23 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.00 Median $3.16 Typical High $5.75 | Professional | None | $2.00 | $3.16 | $5.75 |
United Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
United Setting Professional Modifier None Typical Low $1.86 Median $3.24 Typical High $5.89 | Professional | None | $1.86 | $3.24 | $5.89 |
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 $1.86 Median $1.91 Typical High $2.51 | Professional | 52 · Reduced service | $1.86 | $1.91 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $1.00 | Professional | 53 · Discontinued | $0.76 | $0.76 | $1.00 |
Where Missouri sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 18th of 51
$5.25
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.