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 $173.78 Median $263.03 Typical High $371.54 | Facility | None | $173.78 | $263.03 | $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 $204.17 Median $204.17 Typical High $933.25 | Facility | None | $204.17 | $204.17 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $363.08 | Professional | None | $120.23 | $194.98 | $363.08 |
BCBS Kansas City Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $549.54 | Facility | None | $281.84 | $316.23 | $549.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $380.19 | Professional | None | $141.25 | $204.17 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $446.68 Typical High $1,047.13 | Facility | None | $208.93 | $446.68 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $158.49 Typical High $263.03 | Professional | None | $87.10 | $158.49 | $263.03 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $354.81 Typical High $954.99 | Facility | None | $181.97 | $354.81 | $954.99 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $208.93 Typical High $1,023.29 | Professional | None | $102.33 | $208.93 | $1,023.29 |
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 $117.49 | Professional | 52 · Reduced service | $85.11 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $34.67 | $34.67 | $46.77 |
Where Missouri sits
The same service costs 3.8 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.