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 $758.58 Median $1,148.15 Typical High $1,659.59 | Facility | None | $758.58 | $1,148.15 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,023.29 | Professional | None | $758.58 | $776.25 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $4,168.69 | Facility | None | $891.25 | $891.25 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $758.58 Typical High $1,621.81 | Professional | None | $389.05 | $758.58 | $1,621.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $2,454.71 | Facility | None | $1,258.93 | $1,380.38 | $2,454.71 |
BCBS Kansas City Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,698.24 | Professional | None | $630.96 | $891.25 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,737.80 Typical High $2,884.03 | Facility | None | $616.60 | $1,737.80 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $851.14 Typical High $1,174.90 | Professional | None | $426.58 | $851.14 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,548.82 Typical High $4,265.80 | Facility | None | $812.83 | $1,548.82 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $933.25 Typical High $4,466.84 | Professional | None | $446.68 | $933.25 | $4,466.84 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,202.26 | Professional | None | $380.19 | $537.03 | $1,202.26 |
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 $380.19 Median $389.05 Typical High $512.86 | Professional | 52 · Reduced service | $380.19 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $154.88 Typical High $208.93 | Professional | 53 · Discontinued | $151.36 | $154.88 | $208.93 |
Where Missouri sits
The same service costs 5.1 times more in Texas 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· 25th of 51
$871
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.