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 $158.49 Median $239.88 Typical High $338.84 | Facility | None | $158.49 | $239.88 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None | $158.49 | $158.49 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $851.14 | Facility | None | $186.21 | $186.21 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $346.74 | Professional | None | $112.20 | $177.83 | $346.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $257.04 Median $288.40 Typical High $501.19 | Facility | None | $257.04 | $288.40 | $501.19 |
BCBS Kansas City Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $354.81 | Professional | None | $128.82 | $186.21 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $407.38 Typical High $954.99 | Facility | None | $190.55 | $407.38 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $144.54 Typical High $239.88 | Professional | None | $79.43 | $144.54 | $239.88 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $870.96 | Facility | None | $165.96 | $323.59 | $870.96 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $190.55 Typical High $933.25 | Professional | None | $93.33 | $190.55 | $933.25 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $251.19 | Professional | None | $77.62 | $112.20 | $251.19 |
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 $79.43 Median $79.43 Typical High $107.15 | Professional | 52 · Reduced service | $79.43 | $79.43 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | 53 · Discontinued | $31.62 | $31.62 | $42.66 |
Where Missouri sits
The same service costs 4.5 times more in Texas 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
$178
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.