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 $147.91 Median $223.87 Typical High $316.23 | Facility | None | $147.91 | $223.87 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $181.97 | Professional | None | $125.89 | $147.91 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $794.33 | Facility | None | $173.78 | $173.78 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $309.03 | Professional | None | $72.44 | $144.54 | $309.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $562.34 | Facility | None | $281.84 | $295.12 | $562.34 |
BCBS Kansas City Setting Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $346.74 | Professional | None | $120.23 | $204.17 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $389.05 Typical High $851.14 | Facility | None | $141.25 | $389.05 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $194.98 Typical High $263.03 | Professional | None | $81.28 | $194.98 | $263.03 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $302.00 Typical High $812.83 | Facility | None | $154.88 | $302.00 | $812.83 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $181.97 Typical High $870.96 | Professional | None | $87.10 | $181.97 | $870.96 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $234.42 | Professional | None | $72.44 | $104.71 | $234.42 |
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 $74.13 Median $74.13 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $29.51 | $39.81 |
Where Missouri sits
The same service costs 3.4 times more in Alaska than in Delaware. 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
$166
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.