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 $36.31 Median $54.95 Typical High $79.43 | Facility | None | $36.31 | $54.95 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $48.98 | Professional | None | $36.31 | $38.90 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $199.53 | Facility | None | $42.66 | $42.66 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $77.62 Typical High $112.20 | Professional | None | $21.88 | $77.62 | $112.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $173.78 | Facility | None | $70.79 | $93.33 | $173.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $30.20 Median $58.88 Typical High $109.65 | Professional | None | $30.20 | $58.88 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $95.50 Typical High $245.47 | Facility | None | $56.23 | $95.50 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $40.74 Typical High $83.18 | Professional | None | $20.89 | $40.74 | $83.18 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $74.13 Typical High $204.17 | Facility | None | $38.90 | $74.13 | $204.17 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $107.15 Typical High $416.87 | Professional | None | $21.38 | $107.15 | $416.87 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.70 Typical High $57.54 | Professional | None | $17.78 | $25.70 | $57.54 |
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 $18.20 Median $18.62 Typical High $24.55 | Professional | 52 · Reduced service | $18.20 | $18.62 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.41 Typical High $9.77 | Professional | 53 · Discontinued | $7.24 | $7.41 | $9.77 |
Where Missouri sits
The same service costs 4.5 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· 8th of 51
$61.66
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.