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 $208.93 Median $316.23 Typical High $457.09 | Facility | None | $208.93 | $316.23 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $263.03 | Professional | None | $181.97 | $213.80 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $1,148.15 | Facility | None | $245.47 | $245.47 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $120.23 Typical High $446.68 | Professional | None | $38.90 | $120.23 | $446.68 |
BCBS Kansas City Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $467.74 | Professional | None | $173.78 | $245.47 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $549.54 Typical High $1,023.29 | Facility | None | $199.53 | $549.54 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $275.42 Typical High $354.81 | Professional | None | $112.20 | $275.42 | $354.81 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $1,174.90 | Facility | None | $223.87 | $426.58 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $1,230.27 | Professional | None | $123.03 | $245.47 | $1,230.27 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $331.13 | Professional | None | $104.71 | $147.91 | $331.13 |
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 $104.71 Median $107.15 Typical High $141.25 | Professional | 52 · Reduced service | $104.71 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $56.23 | Professional | 53 · Discontinued | $41.69 | $42.66 | $56.23 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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· 31st of 51
$219
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.