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 $239.88 Median $363.08 Typical High $524.81 | Facility | None | $239.88 | $363.08 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $323.59 | Professional | None | $218.78 | $245.47 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $1,318.26 | Facility | None | $281.84 | $281.84 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $537.03 | Professional | None | $169.82 | $269.15 | $537.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $891.25 | Facility | None | $446.68 | $501.19 | $891.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $199.53 Median $323.59 Typical High $549.54 | Professional | None | $199.53 | $323.59 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $616.60 Typical High $1,445.44 | Facility | None | $288.40 | $616.60 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $223.87 Typical High $363.08 | Professional | None | $120.23 | $223.87 | $363.08 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $489.78 Typical High $1,348.96 | Facility | None | $257.04 | $489.78 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $1,412.54 | Professional | None | $141.25 | $295.12 | $1,412.54 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $380.19 | Professional | None | $117.49 | $169.82 | $380.19 |
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 $120.23 Median $123.03 Typical High $162.18 | Professional | 52 · Reduced service | $120.23 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $47.86 | $48.98 | $64.57 |
Where Missouri sits
The same service costs 3.7 times more in Alaska 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· 27th of 51
$275
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.