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 $257.04 Median $389.05 Typical High $562.34 | Facility | None | $257.04 | $389.05 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $346.74 | Professional | None | $257.04 | $263.03 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $1,412.54 | Facility | None | $302.00 | $302.00 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $549.54 | Professional | None | $181.97 | $275.42 | $549.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $831.76 | Facility | None | $426.58 | $467.74 | $831.76 |
BCBS Kansas City Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $575.44 | Professional | None | $213.80 | $302.00 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $676.08 Typical High $1,202.26 | Facility | None | $302.00 | $676.08 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $398.11 | Professional | None | $144.54 | $288.40 | $398.11 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $524.81 Typical High $1,445.44 | Facility | None | $275.42 | $524.81 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $1,513.56 | Professional | None | $151.36 | $316.23 | $1,513.56 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $407.38 | Professional | None | $128.82 | $181.97 | $407.38 |
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 $128.82 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $128.82 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $70.79 | Professional | 53 · Discontinued | $51.29 | $52.48 | $70.79 |
Where Missouri sits
The same service costs 5.5 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
$295
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.