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 $25.12 Typical High $36.31 | Facility | None | $16.60 | $25.12 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $20.89 | Professional | None | $16.60 | $17.78 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $91.20 | Facility | None | $19.50 | $19.50 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $35.48 | Professional | None | $7.08 | $12.02 | $35.48 |
BCBS Kansas City Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $60.26 | Facility | None | $23.99 | $31.62 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $112.20 | Facility | None | $25.70 | $42.66 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $21.88 Typical High $41.69 | Professional | None | $11.22 | $21.88 | $41.69 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $45.71 Typical High $112.20 | Facility | None | $17.78 | $45.71 | $112.20 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $25.12 | Professional | None | $8.13 | $13.80 | $25.12 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
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 $3.39 Typical High $4.47 | Professional | 53 · Discontinued | $3.31 | $3.39 | $4.47 |
Where Missouri sits
The same service costs 4.4 times more in Kansas than in Alabama. 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· 33rd of 51
$16.98
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.