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 $371.54 Median $562.34 Typical High $812.83 | Facility | None | $371.54 | $562.34 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $501.19 | Professional | None | $346.74 | $380.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $2,041.74 | Facility | None | $436.52 | $436.52 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $794.33 | Professional | None | $117.49 | $234.42 | $794.33 |
BCBS Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $831.76 | Professional | None | $177.83 | $309.03 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $851.14 Typical High $1,412.54 | Facility | None | $194.98 | $851.14 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $346.74 Typical High $575.44 | Professional | None | $194.98 | $346.74 | $575.44 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $2,089.30 | Facility | None | $398.11 | $758.58 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $436.52 Typical High $2,187.76 | Professional | None | $107.15 | $436.52 | $2,187.76 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $107.15 Median $263.03 Typical High $575.44 | Professional | None | $107.15 | $263.03 | $575.44 |
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 $186.21 Median $190.55 Typical High $251.19 | Professional | 52 · Reduced service | $186.21 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $75.86 Typical High $102.33 | Professional | 53 · Discontinued | $74.13 | $75.86 | $102.33 |
Where Missouri sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 20th of 51
$380
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.