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 $204.17 Median $309.03 Typical High $446.68 | Facility | None | $204.17 | $309.03 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $257.04 | Professional | None | $204.17 | $208.93 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $1,122.02 | Facility | None | $239.88 | $239.88 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $436.52 | Professional | None | $199.53 | $229.09 | $436.52 |
BCBS Kansas City Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $891.25 | Facility | None | $457.09 | $478.63 | $891.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $562.34 | Professional | None | $169.82 | $331.13 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $537.03 Typical High $1,380.38 | Facility | None | $229.09 | $537.03 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $416.87 | Professional | None | $117.49 | $208.93 | $416.87 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $416.87 Typical High $1,148.15 | Facility | None | $218.78 | $416.87 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $1,202.26 | Professional | None | $120.23 | $269.15 | $1,202.26 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $323.59 | Professional | None | $102.33 | $144.54 | $323.59 |
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 $102.33 Median $104.71 Typical High $138.04 | Professional | 52 · Reduced service | $102.33 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $56.23 | Professional | 53 · Discontinued | $40.74 | $41.69 | $56.23 |
Where Missouri sits
The same service costs 4.3 times more in Texas than in Delaware. 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· 31st of 51
$234
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.