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 $4.07 Median $6.61 Typical High $12.88 | Facility | None | $4.07 | $6.61 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $4.17 Typical High $4.68 | Professional | None | $3.39 | $4.17 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $22.39 | Facility | None | $4.79 | $4.79 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $6.03 Typical High $10.00 | Professional | None | $1.95 | $6.03 | $10.00 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5.25 Median $6.92 Typical High $13.18 | Facility | None | $5.25 | $6.92 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $10.72 Typical High $20.89 | Facility | None | $4.79 | $10.72 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $5.50 Typical High $7.76 | Professional | None | $2.19 | $5.50 | $7.76 |
Medica Setting Facility Modifier None Typical Low $4.37 Median $9.33 Typical High $100.00 | Facility | None | $4.37 | $9.33 | $100.00 |
Medica Setting Professional Modifier None Typical Low $2.04 Median $3.02 Typical High $5.75 | Professional | None | $2.04 | $3.02 | $5.75 |
United Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.88 Typical High $6.46 | Professional | None | $2.04 | $2.88 | $6.46 |
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 $2.04 Median $2.09 Typical High $2.82 | Professional | 52 · Reduced service | $2.04 | $2.09 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.83 Typical High $1.12 | Professional | 53 · Discontinued | $0.81 | $0.83 | $1.12 |
Where Missouri sits
The same service costs 8.3 times more in Kansas 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· 15th of 51
$5.50
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.