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 $91.20 Median $3,162.28 Typical High $6,309.57 | Facility | None | $91.20 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $158.49 | Professional | None | $61.66 | $89.13 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $3,467.37 Typical High $7,079.46 | Facility | None | $204.17 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $154.88 | Professional | None | $87.10 | $117.49 | $154.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $162.18 | Professional | None | $75.86 | $117.49 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $660.69 | Facility | None | $61.66 | $83.18 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $239.88 | Professional | None | $79.43 | $125.89 | $239.88 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $1,096.48 Typical High $11,481.54 | Facility | None | $173.78 | $1,096.48 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $575.44 Typical High $851.14 | Professional | None | $114.82 | $575.44 | $851.14 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,398.83 | Facility | None | $398.11 | $1,148.15 | $2,398.83 |
United Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $186.21 | Professional | None | $77.62 | $120.23 | $186.21 |
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 $30.90 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $30.90 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $12.30 | $17.78 | $21.88 |
Where Missouri sits
The same service costs 2.8 times more in Alaska 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· 23rd of 51
$135
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.