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 $234.42 Median $354.81 Typical High $501.19 | Facility | None | $234.42 | $354.81 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $316.23 | Professional | None | $234.42 | $234.42 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $1,258.93 | Facility | None | $275.42 | $275.42 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $524.81 | Professional | None | $165.96 | $263.03 | $524.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $758.58 | Facility | None | $380.19 | $426.58 | $758.58 |
BCBS Kansas City Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $524.81 | Professional | None | $190.55 | $275.42 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $602.56 Typical High $1,412.54 | Facility | None | $281.84 | $602.56 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $213.80 Typical High $354.81 | Professional | None | $117.49 | $213.80 | $354.81 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $1,318.26 | Facility | None | $245.47 | $478.63 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $1,380.38 | Professional | None | $138.04 | $288.40 | $1,380.38 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $371.54 | Professional | None | $114.82 | $165.96 | $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 $117.49 Median $117.49 Typical High $158.49 | Professional | 52 · Reduced service | $117.49 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $63.10 | Professional | 53 · Discontinued | $46.77 | $46.77 | $63.10 |
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· 27th of 51
$269
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.