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 $13.18 Median $21.38 Typical High $28.84 | Facility | None | $13.18 | $21.38 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $15.14 | Professional | None | $10.96 | $13.49 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $72.44 | Facility | None | $15.49 | $15.49 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $19.50 Typical High $28.18 | Professional | None | $6.31 | $19.50 | $28.18 |
BCBS Kansas City Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $45.71 | Facility | None | $18.20 | $23.99 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $69.18 | Facility | None | $15.85 | $34.67 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $17.78 Typical High $25.12 | Professional | None | $7.08 | $17.78 | $25.12 |
Medica Setting Facility Modifier None Typical Low $14.13 Median $26.92 Typical High $89.13 | Facility | None | $14.13 | $26.92 | $89.13 |
Medica Setting Professional Modifier None Typical Low $6.61 Median $10.00 Typical High $18.62 | Professional | None | $6.61 | $10.00 | $18.62 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $20.89 | Professional | None | $6.61 | $9.33 | $20.89 |
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 $6.61 Median $6.76 Typical High $8.91 | Professional | 52 · Reduced service | $6.61 | $6.76 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.69 Typical High $3.63 | Professional | 53 · Discontinued | $2.63 | $2.69 | $3.63 |
Where Missouri sits
The same service costs 3.6 times more in Kansas than in Nebraska. 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· 16th of 51
$17.38
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.