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 $177.83 Median $269.15 Typical High $380.19 | Facility | None | $177.83 | $269.15 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | None | $177.83 | $177.83 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $954.99 | Facility | None | $208.93 | $208.93 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $186.21 Typical High $371.54 | Professional | None | $97.72 | $186.21 | $371.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $389.05 Median $407.38 Typical High $776.25 | Facility | None | $389.05 | $407.38 | $776.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $478.63 | Professional | None | $144.54 | $281.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $467.74 Typical High $1,174.90 | Facility | None | $194.98 | $467.74 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $234.42 Typical High $363.08 | Professional | None | $100.00 | $234.42 | $363.08 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $363.08 Typical High $977.24 | Facility | None | $186.21 | $363.08 | $977.24 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $229.09 Typical High $1,047.13 | Professional | None | $104.71 | $229.09 | $1,047.13 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $281.84 | Professional | None | $87.10 | $125.89 | $281.84 |
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 $89.13 Median $89.13 Typical High $120.23 | Professional | 52 · Reduced service | $89.13 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | 53 · Discontinued | $35.48 | $35.48 | $47.86 |
Where Missouri sits
The same service costs 5.1 times more in California 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· 32nd of 51
$200
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.