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 $426.58 Median $645.65 Typical High $933.25 | Facility | None | $426.58 | $645.65 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $436.52 Typical High $575.44 | Professional | None | $426.58 | $436.52 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $2,344.23 | Facility | None | $501.19 | $501.19 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $912.01 | Professional | None | $199.53 | $346.74 | $912.01 |
BCBS Kansas City Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,380.38 | Facility | None | $707.95 | $776.25 | $1,380.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $954.99 | Professional | None | $354.81 | $501.19 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $977.24 Typical High $1,621.81 | Facility | None | $512.86 | $977.24 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $575.44 Typical High $724.44 | Professional | None | $239.88 | $575.44 | $724.44 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $870.96 Typical High $2,398.83 | Facility | None | $436.52 | $870.96 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $524.81 Typical High $2,511.89 | Professional | None | $251.19 | $524.81 | $2,511.89 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $676.08 | Professional | None | $213.80 | $302.00 | $676.08 |
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 $213.80 Median $218.78 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $87.10 Typical High $114.82 | Professional | 53 · Discontinued | $85.11 | $87.10 | $114.82 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 29th of 51
$457
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.