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 $173.78 Median $263.03 Typical High $371.54 | Facility | None | $173.78 | $263.03 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $213.80 | Professional | None | $147.91 | $173.78 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $933.25 | Facility | None | $204.17 | $204.17 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $478.63 | Professional | None | $169.82 | $323.59 | $478.63 |
BCBS Kansas City Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $524.81 | Facility | None | $263.03 | $275.42 | $524.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $380.19 | Professional | None | $141.25 | $190.55 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $457.09 Typical High $794.33 | Facility | None | $165.96 | $457.09 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $208.93 Typical High $288.40 | Professional | None | $91.20 | $208.93 | $288.40 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $354.81 Typical High $954.99 | Facility | None | $181.97 | $354.81 | $954.99 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $1,023.29 | Professional | None | $102.33 | $204.17 | $1,023.29 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $269.15 | Professional | None | $85.11 | $120.23 | $269.15 |
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 $85.11 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $85.11 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $34.67 | $34.67 | $46.77 |
Where Missouri sits
The same service costs 3.5 times more in Alaska than in Oklahoma. 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· 7th of 51
$263
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.