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 $177.83 Median $234.42 Typical High $389.05 | Facility | None | $177.83 | $234.42 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $239.88 | Professional | None | $177.83 | $181.97 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $977.24 | Facility | None | $208.93 | $208.93 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $251.19 Typical High $371.54 | Professional | None | $83.18 | $251.19 | $371.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $501.19 | Facility | None | $199.53 | $263.03 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $457.09 Typical High $794.33 | Facility | None | $154.88 | $457.09 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $199.53 Typical High $323.59 | Professional | None | $77.62 | $199.53 | $323.59 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $1,000.00 | Facility | None | $190.55 | $338.84 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $251.19 | Professional | None | $87.10 | $125.89 | $251.19 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $281.84 | Professional | None | $87.10 | $125.89 | $281.84 |
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 $89.13 Median $89.13 Typical High $120.23 | Professional | 52 · Reduced service | $89.13 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $47.86 | Professional | 53 · Discontinued | $35.48 | $36.31 | $47.86 |
Where Missouri sits
The same service costs 6.0 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· 16th of 51
$224
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.