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 $295.12 Median $446.68 Typical High $645.65 | Facility | None | $295.12 | $446.68 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $398.11 | Professional | None | $269.15 | $302.00 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,621.81 | Facility | None | $346.74 | $346.74 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $630.96 | Professional | None | $208.93 | $316.23 | $630.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $660.69 | Professional | None | $245.47 | $398.11 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $776.25 Typical High $1,659.59 | Facility | None | $281.84 | $776.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $398.11 Typical High $512.86 | Professional | None | $165.96 | $398.11 | $512.86 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $602.56 Typical High $1,659.59 | Facility | None | $316.23 | $602.56 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $1,737.80 | Professional | None | $173.78 | $363.08 | $1,737.80 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $467.74 | Professional | None | $147.91 | $208.93 | $467.74 |
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 $147.91 Median $151.36 Typical High $199.53 | Professional | 52 · Reduced service | $147.91 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $79.43 | Professional | 53 · Discontinued | $58.88 | $60.26 | $79.43 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 26th of 51
$339
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.