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 $28.18 Median $43.65 Typical High $61.66 | Facility | None | $28.18 | $43.65 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $38.90 | Professional | None | $28.18 | $29.51 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $154.88 | Facility | None | $33.11 | $33.11 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $52.48 Typical High $77.62 | Professional | None | $14.13 | $52.48 | $77.62 |
BCBS Kansas City Setting Facility Modifier None Typical Low $38.02 Median $50.12 Typical High $95.50 | Facility | None | $38.02 | $50.12 | $95.50 |
BCBS Kansas City Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $63.10 | Professional | None | $23.44 | $33.88 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $74.13 Typical High $144.54 | Facility | None | $33.11 | $74.13 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $31.62 Typical High $63.10 | Professional | None | $15.14 | $31.62 | $63.10 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $64.57 Typical High $229.09 | Facility | None | $30.20 | $64.57 | $229.09 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $102.33 Typical High $398.11 | Professional | None | $19.95 | $102.33 | $398.11 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $75.86 | Professional | None | $19.95 | $33.11 | $75.86 |
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 $14.13 Median $14.45 Typical High $19.05 | Professional | 52 · Reduced service | $14.13 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $7.76 | Professional | 53 · Discontinued | $5.75 | $5.75 | $7.76 |
Where Missouri sits
The same service costs 5.6 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· 5th of 51
$48.98
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.