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 $1,148.15 Median $1,737.80 Typical High $2,511.89 | Facility | None | $1,148.15 | $1,737.80 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,148.15 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $6,165.95 | Facility | None | $1,348.96 | $1,348.96 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $933.25 Typical High $2,454.71 | Professional | None | $537.03 | $933.25 | $2,454.71 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $3,715.35 | Facility | None | $1,862.09 | $2,089.30 | $3,715.35 |
BCBS Kansas City Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $2,570.40 | Professional | None | $954.99 | $1,348.96 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $4,265.80 | Facility | None | $1,380.38 | $2,630.27 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,548.82 Typical High $1,949.84 | Professional | None | $645.65 | $1,548.82 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $6,456.54 | Facility | None | $1,174.90 | $2,344.23 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,412.54 Typical High $6,760.83 | Professional | None | $676.08 | $1,412.54 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,819.70 | Professional | None | $562.34 | $812.83 | $1,819.70 |
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 $575.44 Median $575.44 Typical High $776.25 | Professional | 52 · Reduced service | $575.44 | $575.44 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $234.42 Typical High $309.03 | Professional | 53 · Discontinued | $229.09 | $234.42 | $309.03 |
Where Missouri sits
The same service costs 5.1 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· 26th of 51
$1,202
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.