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 $223.87 Median $338.84 Typical High $478.63 | Facility | None | $223.87 | $338.84 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $302.00 | Professional | None | $204.17 | $223.87 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $1,202.26 | Facility | None | $263.03 | $263.03 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $218.78 Typical High $467.74 | Professional | None | $97.72 | $218.78 | $467.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $489.78 Median $512.86 Typical High $977.24 | Facility | None | $489.78 | $512.86 | $977.24 |
BCBS Kansas City Setting Professional Modifier None Typical Low $181.97 Median $354.81 Typical High $602.56 | Professional | None | $181.97 | $354.81 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $588.84 Typical High $1,479.11 | Facility | None | $245.47 | $588.84 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $295.12 Typical High $457.09 | Professional | None | $125.89 | $295.12 | $457.09 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $457.09 Typical High $1,230.27 | Facility | None | $234.42 | $457.09 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $1,318.26 | Professional | None | $131.83 | $288.40 | $1,318.26 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $346.74 | Professional | None | $109.65 | $154.88 | $346.74 |
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 $109.65 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $109.65 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | 53 · Discontinued | $44.67 | $44.67 | $60.26 |
Where Missouri sits
The same service costs 3.4 times more in Alaska 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· 32nd of 51
$251
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.