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 $724.44 Median $1,096.48 Typical High $1,548.82 | Facility | None | $724.44 | $1,096.48 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $977.24 | Professional | None | $724.44 | $812.83 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $3,890.45 | Facility | None | $851.14 | $851.14 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,862.09 | Professional | None | $794.33 | $870.96 | $1,862.09 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $2,290.87 | Facility | None | $1,174.90 | $1,318.26 | $2,290.87 |
BCBS Kansas City Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,621.81 | Professional | None | $588.84 | $851.14 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,778.28 Typical High $2,691.53 | Facility | None | $630.96 | $1,778.28 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $812.83 Typical High $1,096.48 | Professional | None | $398.11 | $812.83 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $4,570.88 | Facility | None | $758.58 | $1,479.11 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $870.96 Typical High $4,265.80 | Professional | None | $426.58 | $870.96 | $4,265.80 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $1,148.15 | Professional | None | $354.81 | $512.86 | $1,148.15 |
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 $363.08 Median $363.08 Typical High $489.78 | Professional | 52 · Reduced service | $363.08 | $363.08 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $194.98 | Professional | 53 · Discontinued | $144.54 | $144.54 | $194.98 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in Oklahoma. 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· 22nd of 51
$851
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.