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 $501.19 Median $812.83 Typical High $2,238.72 | Facility | None | $501.19 | $812.83 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,122.02 | Professional | None | $501.19 | $676.08 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $6,025.60 | Facility | None | $1,318.26 | $1,318.26 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $724.44 Typical High $1,318.26 | Professional | None | $288.40 | $724.44 | $1,318.26 |
BCBS Kansas City Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $2,454.71 | Professional | None | $794.33 | $912.01 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,290.87 Typical High $3,388.44 | Facility | None | $562.34 | $2,290.87 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $691.83 Typical High $1,548.82 | Professional | None | $281.84 | $691.83 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,165.95 | Facility | None | $851.14 | $1,548.82 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $707.95 Typical High $6,456.54 | Professional | None | $295.12 | $707.95 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $1,288.25 | Professional | None | $245.47 | $436.52 | $1,288.25 |
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 $251.19 Median $281.84 Typical High $562.34 | Professional | 52 · Reduced service | $251.19 | $281.84 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $112.20 Typical High $223.87 | Professional | 53 · Discontinued | $100.00 | $112.20 | $223.87 |
Where Missouri sits
The same service costs 4.0 times more in Wisconsin 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· 31st of 51
$724
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.