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 $346.74 Median $3,162.28 Typical High $6,309.57 | Facility | None | $346.74 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $302.00 Typical High $524.81 | Professional | None | $138.04 | $302.00 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $416.87 Typical High $630.96 | Professional | None | $173.78 | $416.87 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $316.23 Typical High $524.81 | Professional | None | $204.17 | $316.23 | $524.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $158.49 Median $389.05 Typical High $446.68 | Professional | None | $158.49 | $389.05 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $2,137.96 Typical High $2,691.53 | Facility | None | $389.05 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $371.54 Typical High $562.34 | Professional | None | $190.55 | $371.54 | $562.34 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $363.08 Typical High $1,071.52 | Facility | None | $54.95 | $363.08 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $1,548.82 Typical High $3,090.30 | Professional | None | $363.08 | $1,548.82 | $3,090.30 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,137.96 | Facility | None | $123.03 | $549.54 | $2,137.96 |
United Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $630.96 | Professional | None | $177.83 | $346.74 | $630.96 |
1 more rate 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 54 · Surgery only Typical Low $104.71 Median $223.87 Typical High $269.15 | Professional | 54 · Surgery only | $104.71 | $223.87 | $269.15 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 42nd of 51
$355
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.