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 $10.23 Median $15.49 Typical High $21.88 | Facility | None | $10.23 | $15.49 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $11.75 | Professional | None | $10.23 | $10.96 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $54.95 | Facility | None | $12.02 | $12.02 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $16.60 Typical High $26.92 | Professional | None | $5.89 | $16.60 | $26.92 |
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 $26.30 Typical High $69.18 | Facility | None | $15.85 | $26.30 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $13.49 Typical High $25.12 | Professional | None | $6.92 | $13.49 | $25.12 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $20.89 Typical High $70.79 | Facility | None | $10.72 | $20.89 | $70.79 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $8.51 Typical High $14.79 | Professional | None | $5.37 | $8.51 | $14.79 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $16.22 | Professional | None | $5.01 | $8.91 | $16.22 |
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 $5.13 Median $5.13 Typical High $6.92 | Professional | 52 · Reduced service | $5.13 | $5.13 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.75 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.75 |
Where Missouri sits
The same service costs 4.5 times more in Kansas than in New Jersey. 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
$14.45
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.