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 $281.84 Median $426.58 Typical High $602.56 | Facility | None | $281.84 | $426.58 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $380.19 | Professional | None | $257.04 | $281.84 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $1,513.56 | Facility | None | $331.13 | $331.13 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $354.81 Typical High $616.60 | Professional | None | $131.83 | $354.81 | $616.60 |
BCBS Kansas City Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $630.96 | Professional | None | $229.09 | $331.13 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $2,691.53 | Facility | None | $457.09 | $741.31 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $269.15 Typical High $436.52 | Professional | None | $144.54 | $269.15 | $436.52 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $575.44 Typical High $1,548.82 | Facility | None | $295.12 | $575.44 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $1,659.59 | Professional | None | $165.96 | $338.84 | $1,659.59 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $446.68 | Professional | None | $138.04 | $199.53 | $446.68 |
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 $141.25 Median $141.25 Typical High $190.55 | Professional | 52 · Reduced service | $141.25 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | 53 · Discontinued | $56.23 | $56.23 | $75.86 |
Where Missouri sits
The same service costs 4.3 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· 27th of 51
$324
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.