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 $512.86 Median $776.25 Typical High $1,096.48 | Facility | None | $512.86 | $776.25 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $691.83 | Professional | None | $436.52 | $512.86 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $2,754.23 | Facility | None | $602.56 | $602.56 | $2,754.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $1,071.52 | Professional | None | $389.05 | $549.54 | $1,071.52 |
BCBS Kansas City Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $1,148.15 | Professional | None | $416.87 | $602.56 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,348.96 Typical High $2,511.89 | Facility | None | $489.78 | $1,348.96 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $660.69 Typical High $870.96 | Professional | None | $275.42 | $660.69 | $870.96 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,047.13 Typical High $2,818.38 | Facility | None | $537.03 | $1,047.13 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $602.56 Typical High $3,019.95 | Professional | None | $302.00 | $602.56 | $3,019.95 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $812.83 | Professional | None | $251.19 | $363.08 | $812.83 |
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 $257.04 Median $257.04 Typical High $346.74 | Professional | 52 · Reduced service | $257.04 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | 53 · Discontinued | $102.33 | $102.33 | $138.04 |
Where Missouri sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 28th of 51
$575
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.