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 $125.89 Median $190.55 Typical High $275.42 | Facility | None | $125.89 | $190.55 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $169.82 | Professional | None | $125.89 | $128.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $691.83 | Facility | None | $147.91 | $147.91 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $234.42 Typical High $371.54 | Professional | None | $74.13 | $234.42 | $371.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $562.34 | Facility | None | $223.87 | $295.12 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $323.59 Typical High $831.76 | Facility | None | $162.18 | $323.59 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $169.82 Typical High $257.04 | Professional | None | $74.13 | $169.82 | $257.04 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $257.04 Typical High $707.95 | Facility | None | $134.90 | $257.04 | $707.95 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $186.21 | Professional | None | $66.07 | $104.71 | $186.21 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $61.66 Median $109.65 Typical High $199.53 | Professional | None | $61.66 | $109.65 | $199.53 |
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 $63.10 Median $63.10 Typical High $85.11 | Professional | 52 · Reduced service | $63.10 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $33.88 | Professional | 53 · Discontinued | $25.12 | $25.70 | $33.88 |
Where Missouri sits
The same service costs 5.8 times more in Kansas 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· 13th of 51
$178
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.