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 $151.36 Median $229.09 Typical High $323.59 | Facility | None | $151.36 | $229.09 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $186.21 | Professional | None | $138.04 | $151.36 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $812.83 | Facility | None | $177.83 | $177.83 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $323.59 | Professional | None | $147.91 | $169.82 | $323.59 |
BCBS Kansas City Setting Professional Modifier None Typical Low $123.03 Median $239.88 Typical High $338.84 | Professional | None | $123.03 | $239.88 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $398.11 Typical High $1,023.29 | Facility | None | $165.96 | $398.11 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $199.53 Typical High $309.03 | Professional | None | $85.11 | $199.53 | $309.03 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $309.03 Typical High $851.14 | Facility | None | $158.49 | $309.03 | $851.14 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $194.98 Typical High $891.25 | Professional | None | $89.13 | $194.98 | $891.25 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $239.88 | Professional | None | $74.13 | $107.15 | $239.88 |
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 $75.86 Median $75.86 Typical High $102.33 | Professional | 52 · Reduced service | $75.86 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | 53 · Discontinued | $30.20 | $30.20 | $40.74 |
Where Missouri sits
The same service costs 3.4 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· 30th of 51
$174
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.