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 $4.90 Median $7.94 Typical High $19.95 | Facility | None | $4.90 | $7.94 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $5.01 Typical High $6.17 | Professional | None | $2.88 | $5.01 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $26.92 | Facility | None | $5.75 | $5.75 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $7.08 Typical High $12.59 | Professional | None | $2.34 | $7.08 | $12.59 |
BCBS Kansas City Setting Facility Modifier None Typical Low $7.24 Median $9.33 Typical High $17.78 | Facility | None | $7.24 | $9.33 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $12.88 Typical High $26.92 | Facility | None | $6.31 | $12.88 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $6.61 Typical High $9.77 | Professional | None | $2.75 | $6.61 | $9.77 |
Medica Setting Facility Modifier None Typical Low $5.25 Median $12.02 Typical High $100.00 | Facility | None | $5.25 | $12.02 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $5.62 Typical High $7.94 | Professional | None | $3.47 | $5.62 | $7.94 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
United Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $8.91 | Professional | None | $3.47 | $5.75 | $8.91 |
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 $2.45 Median $2.51 Typical High $3.31 | Professional | 52 · Reduced service | $2.45 | $2.51 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.00 Typical High $1.32 | Professional | 53 · Discontinued | $0.98 | $1.00 | $1.32 |
Where Missouri sits
The same service costs 3.9 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· 16th of 51
$6.61
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.