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 $16.60 Median $23.44 Typical High $34.67 | Facility | None | $16.60 | $23.44 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.98 Typical High $22.39 | Professional | None | $16.60 | $16.98 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $89.13 | Facility | None | $19.50 | $19.50 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $26.92 Typical High $38.90 | Professional | None | $9.55 | $26.92 | $38.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $72.44 | Facility | None | $29.51 | $38.90 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $109.65 | Facility | None | $25.70 | $42.66 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $21.88 Typical High $40.74 | Professional | None | $11.22 | $21.88 | $40.74 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $33.88 Typical High $100.00 | Facility | None | $17.38 | $33.88 | $100.00 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $24.55 | Professional | None | $8.13 | $13.80 | $24.55 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $26.30 | Professional | None | $8.13 | $14.45 | $26.30 |
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 $8.32 Median $8.32 Typical High $11.22 | Professional | 52 · Reduced service | $8.32 | $8.32 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $4.47 | Professional | 53 · Discontinued | $3.31 | $3.31 | $4.47 |
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· 12th of 51
$23.44
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.