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 $257.04 Median $389.05 Typical High $549.54 | Facility | None | $257.04 | $389.05 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $316.23 | Professional | None | $257.04 | $257.04 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $1,380.38 | Facility | None | $302.00 | $302.00 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $537.03 | Professional | None | $199.53 | $275.42 | $537.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $891.25 | Facility | None | $457.09 | $478.63 | $891.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $575.44 | Professional | None | $208.93 | $331.13 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $676.08 Typical High $1,380.38 | Facility | None | $245.47 | $676.08 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $234.42 Typical High $416.87 | Professional | None | $138.04 | $234.42 | $416.87 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $1,412.54 | Facility | None | $269.15 | $467.74 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $1,513.56 | Professional | None | $151.36 | $309.03 | $1,513.56 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $407.38 | Professional | None | $125.89 | $181.97 | $407.38 |
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 $128.82 Median $128.82 Typical High $173.78 | Professional | 52 · Reduced service | $128.82 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | 53 · Discontinued | $51.29 | $51.29 | $69.18 |
Where Missouri sits
The same service costs 3.9 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· 31st of 51
$288
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.