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 $147.91 Median $223.87 Typical High $323.59 | Facility | None | $147.91 | $223.87 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $199.53 | Professional | None | $128.82 | $151.36 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $812.83 | Facility | None | $173.78 | $173.78 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $158.49 Typical High $446.68 | Professional | None | $53.70 | $158.49 | $446.68 |
BCBS Kansas City Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $331.13 | Professional | None | $123.03 | $177.83 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $389.05 Typical High $758.58 | Facility | None | $141.25 | $389.05 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $199.53 Typical High $251.19 | Professional | None | $79.43 | $199.53 | $251.19 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $302.00 Typical High $831.76 | Facility | None | $158.49 | $302.00 | $831.76 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $177.83 Typical High $870.96 | Professional | None | $87.10 | $177.83 | $870.96 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $234.42 | Professional | None | $74.13 | $104.71 | $234.42 |
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 $74.13 Median $75.86 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $75.86 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $40.74 | Professional | 53 · Discontinued | $29.51 | $30.20 | $40.74 |
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· 30th of 51
$166
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.