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 $1,819.70 Median $2,754.23 Typical High $3,981.07 | Facility | None | $1,819.70 | $2,754.23 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,862.09 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $10,000.00 | Facility | None | $2,137.96 | $2,137.96 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $3,715.35 | Professional | None | $794.33 | $1,000.00 | $3,715.35 |
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 $1,513.56 Median $1,513.56 Typical High $4,073.80 | Professional | None | $1,513.56 | $1,513.56 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $3,981.07 Typical High $6,760.83 | Facility | None | $416.87 | $3,981.07 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $3,090.30 | Professional | None | $1,000.00 | $2,454.71 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $3,388.44 Typical High $10,232.93 | Facility | None | $524.81 | $3,388.44 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $2,137.96 Typical High $10,715.19 | Professional | None | $363.08 | $2,137.96 | $10,715.19 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,288.25 Typical High $2,818.38 | Professional | None | $363.08 | $1,288.25 | $2,818.38 |
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 $912.01 Median $912.01 Typical High $1,230.27 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $371.54 Typical High $489.78 | Professional | 53 · Discontinued | $363.08 | $371.54 | $489.78 |
Where Missouri sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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
$1,479
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.