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 $165.96 Median $251.19 Typical High $354.81 | Facility | None | $165.96 | $251.19 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $204.17 | Professional | None | $141.25 | $165.96 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $891.25 | Facility | None | $194.98 | $194.98 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $346.74 | Professional | None | $117.49 | $177.83 | $346.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $275.42 Median $281.84 Typical High $537.03 | Facility | None | $275.42 | $281.84 | $537.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $363.08 | Professional | None | $134.90 | $194.98 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $436.52 Typical High $831.76 | Facility | None | $158.49 | $436.52 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $251.19 | Professional | None | $85.11 | $151.36 | $251.19 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $1,202.26 | Facility | None | $173.78 | $288.40 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $977.24 | Professional | None | $97.72 | $199.53 | $977.24 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $257.04 | Professional | None | $81.28 | $114.82 | $257.04 |
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 $81.28 Median $83.18 Typical High $112.20 | Professional | 52 · Reduced service | $81.28 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $33.11 | $33.11 | $44.67 |
Where Missouri sits
The same service costs 3.7 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· 28th of 51
$186
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.