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 $3.80 Median $3.80 Typical High $9.33 | Facility | None | $3.80 | $3.80 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $4.37 | Professional | None | $3.80 | $3.80 | $4.37 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $5.25 Typical High $38.90 | Professional | None | $4.47 | $5.25 | $38.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $4.17 Median $4.47 Typical High $6.17 | Professional | None | $4.17 | $4.47 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $17.78 Typical High $162.18 | Professional | None | $10.00 | $17.78 | $162.18 |
Medica Setting Facility Modifier None Typical Low $5.13 Median $8.13 Typical High $204.17 | Facility | None | $5.13 | $8.13 | $204.17 |
Medica Setting Professional Modifier None Typical Low $4.27 Median $154.88 Typical High $154.88 | Professional | None | $4.27 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.90 Typical High $7.59 | Professional | None | $3.55 | $4.90 | $7.59 |
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 $1.86 Median $1.86 Typical High $2.19 | Professional | 52 · Reduced service | $1.86 | $1.86 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.87 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.87 |
Where Missouri sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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
$5.25
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.