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 $977.24 Median $1,548.82 Typical High $2,187.76 | Facility | None | $977.24 | $1,548.82 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,348.96 | Professional | None | $977.24 | $1,023.29 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $1,230.27 Typical High $2,238.72 | Professional | None | $363.08 | $1,230.27 | $2,238.72 |
BCBS Kansas City Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $2,290.87 | Professional | None | $831.76 | $831.76 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $9,772.37 | Facility | None | $1,659.59 | $2,691.53 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $1,380.38 | Professional | None | $501.19 | $562.34 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $5,754.40 | Facility | None | $1,047.13 | $2,089.30 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,148.15 Typical High $6,025.60 | Professional | None | $575.44 | $1,148.15 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,548.82 | Professional | None | $489.78 | $691.83 | $1,548.82 |
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 $489.78 Median $512.86 Typical High $660.69 | Professional | 52 · Reduced service | $489.78 | $512.86 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $204.17 Typical High $269.15 | Professional | 53 · Discontinued | $194.98 | $204.17 | $269.15 |
Where Missouri sits
The same service costs 5.4 times more in Alaska 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· 23rd of 51
$1,072
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.