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 $181.97 Median $275.42 Typical High $389.05 | Facility | None | $181.97 | $275.42 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $223.87 | Professional | None | $154.88 | $181.97 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $977.24 | Facility | None | $213.80 | $213.80 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $354.81 Typical High $446.68 | Professional | None | $154.88 | $354.81 | $446.68 |
BCBS Kansas City Setting Facility Modifier None Typical Low $208.93 Median $218.78 Typical High $416.87 | Facility | None | $208.93 | $218.78 | $416.87 |
BCBS Kansas City Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $407.38 | Professional | None | $147.91 | $151.36 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $478.63 Typical High $676.08 | Facility | None | $165.96 | $478.63 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $204.17 Typical High $288.40 | Professional | None | $97.72 | $204.17 | $288.40 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $371.54 Typical High $1,023.29 | Facility | None | $190.55 | $371.54 | $1,023.29 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $213.80 Typical High $1,071.52 | Professional | None | $91.20 | $213.80 | $1,071.52 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $281.84 | Professional | None | $89.13 | $128.82 | $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 $91.20 Median $91.20 Typical High $123.03 | Professional | 52 · Reduced service | $91.20 | $91.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | 53 · Discontinued | $36.31 | $36.31 | $48.98 |
Where Missouri sits
The same service costs 3.7 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· 8th of 51
$257
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.