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 $380.19 Median $575.44 Typical High $831.76 | Facility | None | $380.19 | $575.44 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $478.63 | Professional | None | $331.13 | $389.05 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $2,089.30 | Facility | None | $446.68 | $446.68 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $295.12 Typical High $812.83 | Professional | None | $112.20 | $295.12 | $812.83 |
BCBS Kansas City Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $851.14 | Professional | None | $316.23 | $446.68 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,000.00 Typical High $1,905.46 | Facility | None | $363.08 | $1,000.00 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $501.19 Typical High $645.65 | Professional | None | $204.17 | $501.19 | $645.65 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $776.25 Typical High $2,137.96 | Facility | None | $407.38 | $776.25 | $2,137.96 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $2,238.72 | Professional | None | $223.87 | $446.68 | $2,238.72 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $602.56 | Professional | None | $190.55 | $269.15 | $602.56 |
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 $190.55 Median $194.98 Typical High $257.04 | Professional | 52 · Reduced service | $190.55 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $104.71 | Professional | 53 · Discontinued | $75.86 | $77.62 | $104.71 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 33rd of 51
$398
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.