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 $44.67 Median $13,489.63 Typical High $13,489.63 | Facility | None | $44.67 | $13,489.63 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $87.10 | Professional | None | $44.67 | $77.62 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $8,912.51 Typical High $16,218.10 | Facility | None | $6,309.57 | $8,912.51 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $109.65 | Professional | None | $67.61 | $74.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $117.49 Typical High $57,543.99 | Facility | None | $56.23 | $117.49 | $57,543.99 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $1,230.27 Typical High $9,772.37 | Facility | None | $239.88 | $1,230.27 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $125.89 Typical High $549.54 | Professional | None | $77.62 | $125.89 | $549.54 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $11,220.18 | Facility | None | $467.74 | $2,290.87 | $11,220.18 |
United Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $204.17 | Professional | None | $63.10 | $100.00 | $204.17 |
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 $21.88 Median $38.90 Typical High $43.65 | Professional | 52 · Reduced service | $21.88 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $15.49 Typical High $17.38 | Professional | 53 · Discontinued | $8.91 | $15.49 | $17.38 |
Where Missouri sits
The same service costs 11.2 times more in Texas than in Arkansas. 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· 25th of 51
$93.33
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.