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 $575.44 Median $870.96 Typical High $1,258.93 | Facility | None | $575.44 | $870.96 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Professional | None | $575.44 | $575.44 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $3,090.30 | Facility | None | $676.08 | $676.08 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $1,230.27 | Professional | None | $426.58 | $645.65 | $1,230.27 |
BCBS Kansas City Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,288.25 | Professional | None | $478.63 | $707.95 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,479.11 Typical High $3,467.37 | Facility | None | $691.83 | $1,479.11 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $891.25 | Professional | None | $302.00 | $524.81 | $891.25 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $3,235.94 | Facility | None | $602.56 | $1,174.90 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $707.95 Typical High $3,388.44 | Professional | None | $338.84 | $707.95 | $3,388.44 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $912.01 | Professional | None | $281.84 | $407.38 | $912.01 |
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 $288.40 Median $288.40 Typical High $389.05 | Professional | 52 · Reduced service | $288.40 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $117.49 Typical High $154.88 | Professional | 53 · Discontinued | $114.82 | $117.49 | $154.88 |
Where Missouri sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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
$661
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.