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 $3.24 Median $4.90 Typical High $7.08 | Facility | None | $3.24 | $4.90 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.47 Typical High $4.17 | Professional | None | $3.24 | $3.47 | $4.17 |
Ambetter Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $17.78 | Facility | None | $3.80 | $3.80 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $6.03 Typical High $9.77 | Professional | None | $1.91 | $6.03 | $9.77 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5.75 Median $7.59 Typical High $14.45 | Facility | None | $5.75 | $7.59 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $8.51 Typical High $22.39 | Facility | None | $5.13 | $8.51 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $4.37 Typical High $8.32 | Professional | None | $2.19 | $4.37 | $8.32 |
Medica Setting Facility Modifier None Typical Low $3.47 Median $9.77 Typical High $85.11 | Facility | None | $3.47 | $9.77 | $85.11 |
Medica Setting Professional Modifier None Typical Low $1.74 Median $2.75 Typical High $5.01 | Professional | None | $1.74 | $2.75 | $5.01 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,122.02 | $1,202.26 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.82 Typical High $5.13 | Professional | None | $1.62 | $2.82 | $5.13 |
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 $1.62 Median $1.66 Typical High $2.19 | Professional | 52 · Reduced service | $1.62 | $1.66 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.66 Typical High $0.87 | Professional | 53 · Discontinued | $0.65 | $0.66 | $0.87 |
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· 20th of 51
$4.57
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.