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 $371.54 Median $602.56 Typical High $2,238.72 | Facility | None | $371.54 | $602.56 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $1,122.02 | Professional | None | $371.54 | $426.58 | $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 $218.78 Median $794.33 Typical High $1,122.02 | Professional | None | $218.78 | $794.33 | $1,122.02 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,754.23 | Facility | None | $1,380.38 | $1,548.82 | $2,754.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $2,454.71 | Professional | None | $912.01 | $912.01 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $2,454.71 Typical High $3,388.44 | Facility | None | $416.87 | $2,454.71 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $524.81 Typical High $1,548.82 | Professional | None | $213.80 | $524.81 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $1,698.24 Typical High $6,165.95 | Facility | None | $380.19 | $1,698.24 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $218.78 Median $549.54 Typical High $6,456.54 | Professional | None | $218.78 | $549.54 | $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 $186.21 Median $363.08 Typical High $954.99 | Professional | None | $186.21 | $363.08 | $954.99 |
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 $186.21 Median $213.80 Typical High $562.34 | Professional | 52 · Reduced service | $186.21 | $213.80 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $223.87 | Professional | 53 · Discontinued | $74.13 | $85.11 | $223.87 |
Where Missouri sits
The same service costs 5.2 times more in North Dakota 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· 21st of 51
$741
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.