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 $870.96 Median $870.96 Typical High $1,348.96 | Facility | None | $870.96 | $870.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,380.38 | Professional | None | $870.96 | $1,071.52 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $1,071.52 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,445.44 | $1,862.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,202.26 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $2,691.53 | Facility | None | $575.44 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $2,570.40 | Professional | None | $1,122.02 | $1,318.26 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,258.93 Typical High $7,943.28 | Facility | None | $54.95 | $1,258.93 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $8,317.64 | Professional | None | $1,071.52 | $1,862.09 | $8,317.64 |
United Setting Facility Modifier None Typical Low $501.19 Median $2,290.87 Typical High $10,964.78 | Facility | None | $501.19 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,348.96 | $1,778.28 |
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 $436.52 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $436.52 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $173.78 | $213.80 | $213.80 |
Where Missouri sits
The same service costs 3.5 times more in Alaska 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· 26th of 51
$1,445
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.