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 $588.84 Median $776.25 Typical High $1,479.11 | Facility | None | $588.84 | $776.25 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $691.83 Typical High $912.01 | Professional | None | $676.08 | $691.83 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $3,715.35 | Facility | None | $794.33 | $794.33 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $676.08 Typical High $1,412.54 | Professional | None | $323.59 | $676.08 | $1,412.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $1,230.27 | Facility | None | $501.19 | $660.69 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $1,584.89 Typical High $2,187.76 | Facility | None | $309.03 | $1,584.89 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $630.96 Typical High $1,148.15 | Professional | None | $154.88 | $630.96 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $954.99 Typical High $3,801.89 | Facility | None | $524.81 | $954.99 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $954.99 | Professional | None | $281.84 | $478.63 | $954.99 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $1,047.13 | Professional | None | $281.84 | $478.63 | $1,047.13 |
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 $338.84 Median $346.74 Typical High $457.09 | Professional | 52 · Reduced service | $338.84 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $186.21 | Professional | 53 · Discontinued | $134.90 | $138.04 | $186.21 |
Where Missouri sits
The same service costs 11.0 times more in Alaska than in Alabama. 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· 22nd of 51
$676
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.