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 $144.54 Median $218.78 Typical High $309.03 | Facility | None | $144.54 | $218.78 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $177.83 | Professional | None | $123.03 | $144.54 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $776.25 | Facility | None | $169.82 | $169.82 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $302.00 | Professional | None | $102.33 | $154.88 | $302.00 |
BCBS Kansas City Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $457.09 | Facility | None | $234.42 | $263.03 | $457.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $323.59 | Professional | None | $117.49 | $169.82 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $363.08 Typical High $537.03 | Facility | None | $128.82 | $363.08 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $162.18 Typical High $218.78 | Professional | None | $79.43 | $162.18 | $218.78 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $794.33 | Facility | None | $151.36 | $295.12 | $794.33 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $173.78 Typical High $851.14 | Professional | None | $85.11 | $173.78 | $851.14 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $229.09 | Professional | None | $70.79 | $102.33 | $229.09 |
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 $72.44 Median $72.44 Typical High $97.72 | Professional | 52 · Reduced service | $72.44 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | 53 · Discontinued | $28.84 | $28.84 | $38.90 |
Where Missouri sits
The same service costs 5.5 times more in Texas 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· 27th of 51
$162
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.