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 $263.03 Median $398.11 Typical High $562.34 | Facility | None | $263.03 | $398.11 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $354.81 | Professional | None | $263.03 | $263.03 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $1,412.54 | Facility | None | $309.03 | $309.03 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $151.36 Typical High $537.03 | Professional | None | $61.66 | $151.36 | $537.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $588.84 | Professional | None | $162.18 | $213.80 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $676.08 Typical High $977.24 | Facility | None | $177.83 | $676.08 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $398.11 | Professional | None | $141.25 | $295.12 | $398.11 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $537.03 Typical High $1,479.11 | Facility | None | $275.42 | $537.03 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $309.03 Typical High $1,548.82 | Professional | None | $97.72 | $309.03 | $1,548.82 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $97.72 Median $186.21 Typical High $407.38 | Professional | None | $97.72 | $186.21 | $407.38 |
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 $131.83 Median $131.83 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $70.79 | Professional | 53 · Discontinued | $52.48 | $52.48 | $70.79 |
Where Missouri sits
The same service costs 5.9 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· 20th 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.