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 $138.04 Median $213.80 Typical High $302.00 | Facility | None | $138.04 | $213.80 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $758.58 | Facility | None | $162.18 | $162.18 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $147.91 Typical High $295.12 | Professional | None | $74.13 | $147.91 | $295.12 |
BCBS Kansas City Setting Professional Modifier None Typical Low $114.82 Median $223.87 Typical High $309.03 | Professional | None | $114.82 | $223.87 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $363.08 Typical High $933.25 | Facility | None | $154.88 | $363.08 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $186.21 Typical High $281.84 | Professional | None | $77.62 | $186.21 | $281.84 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $288.40 Typical High $776.25 | Facility | None | $147.91 | $288.40 | $776.25 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $181.97 Typical High $812.83 | Professional | None | $81.28 | $181.97 | $812.83 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $218.78 | Professional | None | $69.18 | $97.72 | $218.78 |
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 $69.18 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $69.18 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $38.02 | Professional | 53 · Discontinued | $28.18 | $28.18 | $38.02 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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
$158
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.