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 $18.62 Median $23.44 Typical High $44.67 | Facility | None | $18.62 | $23.44 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $27.54 | Professional | None | $18.62 | $20.89 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $112.20 | Facility | None | $23.99 | $23.99 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $19.95 Typical High $33.11 | Professional | None | $9.55 | $19.95 | $33.11 |
BCBS Kansas City Setting Facility Modifier None Typical Low $16.22 Median $21.38 Typical High $40.74 | Facility | None | $16.22 | $21.38 | $40.74 |
BCBS Kansas City Setting Professional Modifier None Typical Low $14.45 Median $16.98 Typical High $45.71 | Professional | None | $14.45 | $16.98 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $53.70 Typical High $75.86 | Facility | None | $15.85 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $17.38 Typical High $41.69 | Professional | None | $6.92 | $17.38 | $41.69 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $28.84 Typical High $114.82 | Facility | None | $16.98 | $28.84 | $114.82 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $120.23 Typical High $120.23 | Professional | None | $15.49 | $120.23 | $120.23 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $61.66 | Professional | None | $14.45 | $23.99 | $61.66 |
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 $10.23 Median $10.23 Typical High $13.80 | Professional | 52 · Reduced service | $10.23 | $10.23 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $5.50 | Professional | 53 · Discontinued | $4.07 | $4.17 | $5.50 |
Where Missouri sits
The same service costs 8.9 times more in Texas than in Kentucky. 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· 29th of 51
$23.99
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.