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 $1,698.24 Median $2,570.40 Typical High $3,715.35 | Facility | None | $1,698.24 | $2,570.40 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,479.11 | $1,737.80 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $9,332.54 | Facility | None | $1,995.26 | $1,995.26 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $3,630.78 | Professional | None | $954.99 | $1,174.90 | $3,630.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $5,495.41 | Facility | None | $2,754.23 | $3,090.30 | $5,495.41 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $3,801.89 | Professional | None | $1,412.54 | $1,995.26 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,890.45 Typical High $6,309.57 | Facility | None | $724.44 | $3,890.45 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,905.46 Typical High $2,570.40 | Professional | None | $933.25 | $1,905.46 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,467.37 Typical High $9,549.93 | Facility | None | $1,819.70 | $3,467.37 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $10,000.00 | Professional | None | $1,000.00 | $2,089.30 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $2,691.53 | Professional | None | $831.76 | $1,202.26 | $2,691.53 |
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 $851.14 Median $851.14 Typical High $1,148.15 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $346.74 Typical High $457.09 | Professional | 53 · Discontinued | $338.84 | $346.74 | $457.09 |
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
$1,820
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.