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 $758.58 Typical High $1,071.52 | Facility | None | $501.19 | $758.58 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $676.08 | Professional | None | $457.09 | $501.19 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $2,691.53 | Facility | None | $588.84 | $588.84 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $1,071.52 | Professional | None | $288.40 | $478.63 | $1,071.52 |
BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $2,187.76 | Facility | None | $1,122.02 | $1,148.15 | $2,187.76 |
BCBS Setting Professional Modifier None Typical Low $407.38 Median $794.33 Typical High $1,348.96 | Professional | None | $407.38 | $794.33 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,318.26 Typical High $3,311.31 | Facility | None | $562.34 | $1,318.26 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $562.34 Typical High $1,000.00 | Professional | None | $288.40 | $562.34 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $3,467.37 | Facility | None | $512.86 | $1,023.29 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $676.08 Typical High $2,951.21 | Professional | None | $295.12 | $676.08 | $2,951.21 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $794.33 | Professional | None | $245.47 | $354.81 | $794.33 |
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 $251.19 Typical High $338.84 | Professional | 52 · Reduced service | $251.19 | $251.19 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | 53 · Discontinued | $100.00 | $100.00 | $134.90 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 32nd of 51
$537
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.