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 $245.47 Median $380.19 Typical High $537.03 | Facility | None | $245.47 | $380.19 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $338.84 | Professional | None | $229.09 | $251.19 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $1,348.96 | Facility | None | $288.40 | $288.40 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $549.54 | Professional | None | $173.78 | $275.42 | $549.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $794.33 | Facility | None | $407.38 | $446.68 | $794.33 |
BCBS Kansas City Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $549.54 | Professional | None | $204.17 | $288.40 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $645.65 Typical High $1,513.56 | Facility | None | $302.00 | $645.65 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $380.19 | Professional | None | $123.03 | $229.09 | $380.19 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $501.19 Typical High $1,380.38 | Facility | None | $263.03 | $501.19 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $302.00 Typical High $1,445.44 | Professional | None | $144.54 | $302.00 | $1,445.44 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $389.05 | Professional | None | $123.03 | $173.78 | $389.05 |
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 $123.03 Median $125.89 Typical High $165.96 | Professional | 52 · Reduced service | $123.03 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $67.61 | Professional | 53 · Discontinued | $48.98 | $50.12 | $67.61 |
Where Missouri sits
The same service costs 4.5 times more in Texas than in Delaware. 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
$282
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.