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 $12.88 Median $19.50 Typical High $26.92 | Facility | None | $12.88 | $19.50 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $15.85 | Professional | None | $12.88 | $13.18 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $69.18 | Facility | None | $15.14 | $15.14 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $22.39 Typical High $38.02 | Professional | None | $7.41 | $22.39 | $38.02 |
BCBS Kansas City Setting Facility Modifier None Typical Low $22.91 Median $30.20 Typical High $56.23 | Facility | None | $22.91 | $30.20 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $33.11 Typical High $85.11 | Facility | None | $19.95 | $33.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $16.98 Typical High $32.36 | Professional | None | $8.71 | $16.98 | $32.36 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $36.31 Typical High $141.25 | Facility | None | $13.49 | $36.31 | $141.25 |
Medica Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $19.50 | Professional | None | $6.76 | $10.72 | $19.50 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $6.31 Median $11.22 Typical High $20.42 | Professional | None | $6.31 | $11.22 | $20.42 |
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 $6.46 Median $6.46 Typical High $8.71 | Professional | 52 · Reduced service | $6.46 | $6.46 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.47 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.47 |
Where Missouri sits
The same service costs 4.3 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· 15th of 51
$18.20
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.