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 $128.82 Median $194.98 Typical High $275.42 | Facility | None | $128.82 | $194.98 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $158.49 | Professional | None | $117.49 | $128.82 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $691.83 | Facility | None | $151.36 | $151.36 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $269.15 | Professional | None | $100.00 | $125.89 | $269.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $208.93 Median $234.42 Typical High $407.38 | Facility | None | $208.93 | $234.42 | $407.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $288.40 | Professional | None | $104.71 | $151.36 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $338.84 Typical High $478.63 | Facility | None | $123.03 | $338.84 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $144.54 Typical High $194.98 | Professional | None | $70.79 | $144.54 | $194.98 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $891.25 | Facility | None | $134.90 | $263.03 | $891.25 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $758.58 | Professional | None | $75.86 | $154.88 | $758.58 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $204.17 | Professional | None | $63.10 | $91.20 | $204.17 |
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 $64.57 Median $64.57 Typical High $87.10 | Professional | 52 · Reduced service | $64.57 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | 53 · Discontinued | $25.70 | $25.70 | $34.67 |
Where Missouri sits
The same service costs 5.4 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
$145
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.