How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,000 to $7,079Professionalmedian $1,148 · 10th to 90th $851 to $2,512
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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,318.26 | Professional | None | $691.83 | $831.76 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,548.82 | Professional | None | $851.14 | $1,202.26 | $1,548.82 |
BCBS Kansas City Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,288.25 | Professional | None | $831.76 | $933.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $2,691.53 | Facility | None | $707.95 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $2,041.74 | Professional | None | $870.96 | $1,047.13 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,905.46 Typical High $7,585.78 | Facility | None | $54.95 | $1,905.46 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,479.11 Typical High $6,456.54 | Professional | None | $870.96 | $1,479.11 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,412.54 | Professional | None | $851.14 | $1,071.52 | $1,412.54 |
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 $346.74 Median $416.87 Typical High $426.58 | Professional | 52 · Reduced service | $346.74 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $165.96 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $165.96 | $169.82 |
Where Missouri sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.