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 $316.23 Median $478.63 Typical High $691.83 | Facility | None | $316.23 | $478.63 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $436.52 | Professional | None | $295.12 | $323.59 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,737.80 | Facility | None | $371.54 | $371.54 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $676.08 | Professional | None | $223.87 | $354.81 | $676.08 |
BCBS Kansas City Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $707.95 | Professional | None | $263.03 | $371.54 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $831.76 Typical High $1,949.84 | Facility | None | $389.05 | $831.76 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $489.78 | Professional | None | $158.49 | $295.12 | $489.78 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $645.65 Typical High $1,778.28 | Facility | None | $338.84 | $645.65 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $1,862.09 | Professional | None | $186.21 | $389.05 | $1,862.09 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $501.19 | Professional | None | $158.49 | $223.87 | $501.19 |
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 $158.49 Median $162.18 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $87.10 | Professional | 53 · Discontinued | $63.10 | $64.57 | $87.10 |
Where Missouri sits
The same service costs 6.5 times more in Texas than in Alabama. 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
$363
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.