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 $5.62 Median $9.12 Typical High $15.14 | Facility | None | $5.62 | $9.12 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $6.46 | Professional | None | $5.62 | $6.03 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $30.90 | Facility | None | $6.61 | $6.61 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $9.33 Typical High $13.80 | Professional | None | $3.31 | $9.33 | $13.80 |
BCBS Kansas City Setting Facility Modifier None Typical Low $10.00 Median $13.18 Typical High $25.12 | Facility | None | $10.00 | $13.18 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $14.79 Typical High $37.15 | Facility | None | $8.71 | $14.79 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $7.76 Typical High $13.80 | Professional | None | $3.80 | $7.76 | $13.80 |
Medica Setting Facility Modifier None Typical Low $6.03 Median $14.13 Typical High $309.03 | Facility | None | $6.03 | $14.13 | $309.03 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $4.68 Typical High $8.32 | Professional | None | $3.02 | $4.68 | $8.32 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.57 Typical High $8.91 | Professional | None | $2.82 | $4.57 | $8.91 |
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 $2.82 Median $2.88 Typical High $3.80 | Professional | 52 · Reduced service | $2.82 | $2.88 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.51 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.51 |
Where Missouri sits
The same service costs 3.6 times more in Alaska than in Kansas. 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
$7.76
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.