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 $398.11 Median $602.56 Typical High $870.96 | Facility | None | $398.11 | $602.56 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $501.19 | Professional | None | $251.19 | $398.11 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $2,137.96 | Facility | None | $467.74 | $467.74 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $891.25 | Professional | None | $281.84 | $446.68 | $891.25 |
BCBS Kansas City Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $1,288.25 | Facility | None | $645.65 | $724.44 | $1,288.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $891.25 | Professional | None | $331.13 | $467.74 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $2,511.89 | Facility | None | $478.63 | $1,023.29 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $363.08 Typical High $602.56 | Professional | None | $199.53 | $363.08 | $602.56 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $812.83 Typical High $2,238.72 | Facility | None | $416.87 | $812.83 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $489.78 Typical High $2,344.23 | Professional | None | $234.42 | $489.78 | $2,344.23 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $630.96 | Professional | None | $194.98 | $281.84 | $630.96 |
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 $199.53 Median $199.53 Typical High $269.15 | Professional | 52 · Reduced service | $199.53 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $107.15 | Professional | 53 · Discontinued | $79.43 | $81.28 | $107.15 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 29th of 51
$457
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.