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 $467.74 Median $724.44 Typical High $1,023.29 | Facility | None | $467.74 | $724.44 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $645.65 | Professional | None | $467.74 | $537.03 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $2,570.40 | Facility | None | $562.34 | $562.34 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $467.74 Typical High $1,000.00 | Professional | None | $199.53 | $467.74 | $1,000.00 |
BCBS Kansas City Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $1,513.56 | Facility | None | $776.25 | $851.14 | $1,513.56 |
BCBS Kansas City Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,047.13 | Professional | None | $389.05 | $562.34 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,071.52 Typical High $1,778.28 | Facility | None | $302.00 | $1,071.52 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $524.81 Typical High $724.44 | Professional | None | $263.03 | $524.81 | $724.44 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $2,630.27 | Facility | None | $501.19 | $977.24 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $575.44 Typical High $2,754.23 | Professional | None | $275.42 | $575.44 | $2,754.23 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $741.31 | Professional | None | $234.42 | $331.13 | $741.31 |
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 $234.42 Median $239.88 Typical High $323.59 | Professional | 52 · Reduced service | $234.42 | $239.88 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $95.50 | $128.82 |
Where Missouri sits
The same service costs 4.6 times more in Kansas 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· 31st of 51
$537
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.