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 $11.22 Median $16.98 Typical High $24.55 | Facility | None | $11.22 | $16.98 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.02 Typical High $12.88 | Professional | None | $11.22 | $12.02 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $60.26 | Facility | None | $13.18 | $13.18 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $16.98 Typical High $23.99 | Professional | None | $6.46 | $16.98 | $23.99 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.78 Median $26.30 Typical High $50.12 | Facility | None | $17.78 | $26.30 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $28.84 Typical High $74.13 | Facility | None | $17.38 | $28.84 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $15.14 Typical High $28.18 | Professional | None | $7.59 | $15.14 | $28.18 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $23.44 Typical High $138.04 | Facility | None | $11.75 | $23.44 | $138.04 |
Medica Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $16.98 | Professional | None | $5.89 | $9.33 | $16.98 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $17.78 | Professional | None | $5.50 | $7.94 | $17.78 |
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 $5.62 Median $5.62 Typical High $7.59 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.29 Typical High $3.02 | Professional | 53 · Discontinued | $2.24 | $2.29 | $3.02 |
Where Missouri sits
The same service costs 4.2 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· 19th of 51
$15.14
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.