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 $251.19 Median $380.19 Typical High $549.54 | Facility | None | $251.19 | $380.19 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $338.84 | Professional | None | $229.09 | $257.04 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,380.38 | Facility | None | $295.12 | $295.12 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $691.83 | Professional | None | $177.83 | $309.03 | $691.83 |
BCBS Kansas City Setting Facility Modifier None Typical Low $407.38 Median $426.58 Typical High $812.83 | Facility | None | $407.38 | $426.58 | $812.83 |
BCBS Kansas City Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $562.34 | Professional | None | $208.93 | $295.12 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $660.69 Typical High $1,230.27 | Facility | None | $239.88 | $660.69 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $229.09 Typical High $380.19 | Professional | None | $128.82 | $229.09 | $380.19 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $1,412.54 | Facility | None | $269.15 | $436.52 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $309.03 Typical High $1,479.11 | Professional | None | $147.91 | $309.03 | $1,479.11 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $398.11 | Professional | None | $123.03 | $177.83 | $398.11 |
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 $125.89 Median $125.89 Typical High $169.82 | Professional | 52 · Reduced service | $125.89 | $125.89 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $67.61 | Professional | 53 · Discontinued | $50.12 | $51.29 | $67.61 |
Where Missouri sits
The same service costs 3.8 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· 23rd of 51
$295
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.