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 $288.40 Median $436.52 Typical High $616.60 | Facility | None | $288.40 | $436.52 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | None | $288.40 | $288.40 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $1,548.82 | Facility | None | $338.84 | $338.84 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $141.25 Typical High $588.84 | Professional | None | $61.66 | $141.25 | $588.84 |
BCBS Kansas City Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $645.65 | Professional | None | $128.82 | $234.42 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $645.65 Typical High $1,071.52 | Facility | None | $144.54 | $645.65 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $263.03 Typical High $436.52 | Professional | None | $144.54 | $263.03 | $436.52 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $588.84 Typical High $1,621.81 | Facility | None | $302.00 | $588.84 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $338.84 Typical High $1,698.24 | Professional | None | $77.62 | $338.84 | $1,698.24 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $77.62 Median $204.17 Typical High $446.68 | Professional | None | $77.62 | $204.17 | $446.68 |
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 $144.54 Median $144.54 Typical High $194.98 | Professional | 52 · Reduced service | $144.54 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $77.62 | Professional | 53 · Discontinued | $57.54 | $57.54 | $77.62 |
Where Missouri sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 21st of 51
$282
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.