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 $169.82 Median $257.04 Typical High $371.54 | Facility | None | $169.82 | $257.04 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $213.80 | Professional | None | $147.91 | $173.78 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $933.25 | Facility | None | $199.53 | $199.53 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $190.55 Typical High $512.86 | Professional | None | $104.71 | $190.55 | $512.86 |
BCBS Kansas City Setting Professional Modifier None Typical Low $141.25 Median $275.42 Typical High $380.19 | Professional | None | $141.25 | $275.42 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $446.68 Typical High $1,148.15 | Facility | None | $190.55 | $446.68 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $229.09 Typical High $346.74 | Professional | None | $95.50 | $229.09 | $346.74 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $346.74 Typical High $954.99 | Facility | None | $181.97 | $346.74 | $954.99 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $1,000.00 | Professional | None | $100.00 | $223.87 | $1,000.00 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $269.15 | Professional | None | $85.11 | $120.23 | $269.15 |
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 $85.11 Median $87.10 Typical High $114.82 | Professional | 52 · Reduced service | $85.11 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $33.88 | $34.67 | $46.77 |
Where Missouri sits
The same service costs 3.2 times more in Alaska 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· 29th of 51
$195
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.