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 $257.04 Median $389.05 Typical High $549.54 | Facility | None | $257.04 | $389.05 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None | $257.04 | $257.04 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $1,380.38 | Facility | None | $302.00 | $302.00 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $575.44 | Professional | None | $181.97 | $288.40 | $575.44 |
BCBS Kansas City Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $831.76 | Facility | None | $416.87 | $467.74 | $831.76 |
BCBS Kansas City Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $575.44 | Professional | None | $208.93 | $302.00 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $1,548.82 | Facility | None | $309.03 | $660.69 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $389.05 | Professional | None | $128.82 | $234.42 | $389.05 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $524.81 Typical High $1,445.44 | Facility | None | $269.15 | $524.81 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $316.23 Typical High $1,513.56 | Professional | None | $151.36 | $316.23 | $1,513.56 |
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 $125.89 Median $181.97 Typical High $407.38 | Professional | None | $125.89 | $181.97 | $407.38 |
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 $128.82 Median $128.82 Typical High $173.78 | Professional | 52 · Reduced service | $128.82 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | 53 · Discontinued | $51.29 | $51.29 | $69.18 |
Where Missouri sits
The same service costs 4.7 times more in Texas 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· 26th 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.