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 $181.97 Median $281.84 Typical High $524.81 | Facility | None | $181.97 | $281.84 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $245.47 Typical High $331.13 | Professional | None | $239.88 | $245.47 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $1,318.26 | Facility | None | $281.84 | $281.84 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $208.93 Typical High $478.63 | Professional | None | $114.82 | $208.93 | $478.63 |
BCBS Kansas City Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $380.19 | Facility | None | $154.88 | $199.53 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $562.34 Typical High $776.25 | Facility | None | $109.65 | $562.34 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $223.87 Typical High $398.11 | Professional | None | $54.95 | $223.87 | $398.11 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $338.84 Typical High $1,348.96 | Facility | None | $162.18 | $338.84 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $338.84 | Professional | None | $85.11 | $169.82 | $338.84 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $371.54 | Professional | None | $85.11 | $169.82 | $371.54 |
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 $120.23 Median $123.03 Typical High $162.18 | Professional | 52 · Reduced service | $120.23 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | 53 · Discontinued | $48.98 | $48.98 | $66.07 |
Where Missouri sits
The same service costs 11.2 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· 26th of 51
$209
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.