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 $162.18 Median $245.47 Typical High $354.81 | Facility | None | $162.18 | $245.47 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $218.78 | Professional | None | $141.25 | $165.96 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $109.65 Typical High $346.74 | Professional | None | $50.12 | $109.65 | $346.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $117.49 Median $120.23 Typical High $229.09 | Facility | None | $117.49 | $120.23 | $229.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $83.18 Median $134.90 Typical High $363.08 | Professional | None | $83.18 | $134.90 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $371.54 Typical High $524.81 | Facility | None | $125.89 | $371.54 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $102.33 Typical High $223.87 | Professional | None | $38.02 | $102.33 | $223.87 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $229.09 Typical High $912.01 | Facility | None | $72.44 | $229.09 | $912.01 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $190.55 Typical High $954.99 | Professional | None | $50.12 | $190.55 | $954.99 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $50.12 Median $114.82 Typical High $251.19 | Professional | None | $50.12 | $114.82 | $251.19 |
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 $81.28 Median $83.18 Typical High $109.65 | Professional | 52 · Reduced service | $81.28 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $32.36 | $33.11 | $44.67 |
Where Missouri sits
The same service costs 5.4 times more in Texas than in Ohio. 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· 22nd of 51
$162
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.