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 $1,548.82 Median $2,187.76 Typical High $3,388.44 | Facility | None | $1,548.82 | $2,187.76 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,778.28 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $8,511.38 | Facility | None | $1,819.70 | $1,819.70 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $3,311.31 | Professional | None | $1,479.11 | $1,737.80 | $3,311.31 |
BCBS Kansas City Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $6,760.83 | Facility | None | $3,467.37 | $3,548.13 | $6,760.83 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $4,265.80 | Professional | None | $1,288.25 | $2,511.89 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $4,073.80 Typical High $10,471.29 | Facility | None | $1,737.80 | $4,073.80 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,584.89 Typical High $3,162.28 | Professional | None | $891.25 | $1,584.89 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,162.28 Typical High $8,709.64 | Facility | None | $1,659.59 | $3,162.28 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $2,041.74 Typical High $9,120.11 | Professional | None | $912.01 | $2,041.74 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,454.71 | Professional | None | $758.58 | $1,096.48 | $2,454.71 |
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 $776.25 Median $776.25 Typical High $1,047.13 | Professional | 52 · Reduced service | $776.25 | $776.25 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $316.23 Typical High $416.87 | Professional | 53 · Discontinued | $309.03 | $316.23 | $416.87 |
Where Missouri sits
The same service costs 4.3 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· 33rd of 51
$1,778
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.