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 $169.82 Median $257.04 Typical High $371.54 | Facility | None | $169.82 | $257.04 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $229.09 | Professional | None | $169.82 | $173.78 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $933.25 | Facility | None | $199.53 | $199.53 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $371.54 Typical High $467.74 | Professional | None | $165.96 | $371.54 | $467.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $549.54 | Facility | None | $275.42 | $309.03 | $549.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $380.19 | Professional | None | $141.25 | $199.53 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $1,122.02 | Facility | None | $275.42 | $446.68 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $190.55 Typical High $257.04 | Professional | None | $93.33 | $190.55 | $257.04 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $346.74 Typical High $954.99 | Facility | None | $181.97 | $346.74 | $954.99 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $208.93 Typical High $1,000.00 | Professional | None | $100.00 | $208.93 | $1,000.00 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $269.15 | Professional | None | $83.18 | $120.23 | $269.15 |
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 $85.11 Median $85.11 Typical High $114.82 | Professional | 52 · Reduced service | $85.11 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $45.71 | Professional | 53 · Discontinued | $33.88 | $34.67 | $45.71 |
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· 10th 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.