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 $204.17 Median $309.03 Typical High $436.52 | Facility | None | $204.17 | $309.03 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $251.19 | Professional | None | $173.78 | $204.17 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $1,096.48 | Facility | None | $239.88 | $239.88 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $426.58 | Professional | None | $165.96 | $331.13 | $426.58 |
BCBS Kansas City Setting Facility Modifier None Typical Low $223.87 Median $234.42 Typical High $436.52 | Facility | None | $223.87 | $234.42 | $436.52 |
BCBS Kansas City Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $457.09 | Professional | None | $162.18 | $165.96 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $537.03 Typical High $758.58 | Facility | None | $177.83 | $537.03 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $309.03 | Professional | None | $109.65 | $229.09 | $309.03 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $1,122.02 | Facility | None | $213.80 | $416.87 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $239.88 Typical High $1,202.26 | Professional | None | $97.72 | $239.88 | $1,202.26 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $309.03 | Professional | None | $97.72 | $141.25 | $309.03 |
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 $100.00 Median $102.33 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | 53 · Discontinued | $40.74 | $40.74 | $54.95 |
Where Missouri sits
The same service costs 3.8 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
$288
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.