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 $186.21 Median $281.84 Typical High $407.38 | Facility | None | $186.21 | $281.84 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $234.42 | Professional | None | $186.21 | $190.55 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $1,023.29 | Facility | None | $218.78 | $218.78 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $407.38 | Professional | None | $186.21 | $208.93 | $407.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
BCBS Kansas City Setting Professional Modifier None Typical Low $154.88 Median $302.00 Typical High $416.87 | Professional | None | $154.88 | $302.00 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $489.78 Typical High $1,258.93 | Facility | None | $208.93 | $489.78 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $251.19 Typical High $380.19 | Professional | None | $104.71 | $251.19 | $380.19 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $1,047.13 | Facility | None | $199.53 | $380.19 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $245.47 Typical High $1,096.48 | Professional | None | $109.65 | $245.47 | $1,096.48 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $295.12 | Professional | None | $93.33 | $131.83 | $295.12 |
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 $93.33 Median $95.50 Typical High $125.89 | Professional | 52 · Reduced service | $93.33 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $51.29 | Professional | 53 · Discontinued | $37.15 | $38.02 | $51.29 |
Where Missouri sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 31st of 51
$214
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.