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 $275.42 Median $416.87 Typical High $602.56 | Facility | None | $275.42 | $416.87 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $346.74 | Professional | None | $275.42 | $281.84 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,513.56 | Facility | None | $323.59 | $323.59 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $588.84 | Professional | None | $194.98 | $309.03 | $588.84 |
BCBS Kansas City Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $616.60 | Professional | None | $229.09 | $323.59 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $707.95 Typical High $1,659.59 | Facility | None | $331.13 | $707.95 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $257.04 Typical High $416.87 | Professional | None | $138.04 | $257.04 | $416.87 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $562.34 Typical High $1,548.82 | Facility | None | $295.12 | $562.34 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $338.84 Typical High $1,621.81 | Professional | None | $162.18 | $338.84 | $1,621.81 |
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 $134.90 Median $194.98 Typical High $436.52 | Professional | None | $134.90 | $194.98 | $436.52 |
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 $138.04 Median $138.04 Typical High $186.21 | Professional | 52 · Reduced service | $138.04 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $56.23 | $74.13 |
Where Missouri sits
The same service costs 4.2 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· 28th of 51
$316
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.