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 $645.65 Median $977.24 Typical High $1,412.54 | Facility | None | $645.65 | $977.24 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $870.96 | Professional | None | $588.84 | $660.69 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $3,467.37 | Facility | None | $758.58 | $758.58 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $588.84 Typical High $1,380.38 | Professional | None | $316.23 | $588.84 | $1,380.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,445.44 | Professional | None | $537.03 | $645.65 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,659.59 Typical High $2,691.53 | Facility | None | $457.09 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $870.96 Typical High $1,096.48 | Professional | None | $354.81 | $870.96 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,202.26 Typical High $3,630.78 | Facility | None | $676.08 | $1,202.26 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $758.58 Typical High $3,801.89 | Professional | None | $79.43 | $758.58 | $3,801.89 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $53.70 Median $457.09 Typical High $1,000.00 | Professional | None | $53.70 | $457.09 | $1,000.00 |
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 $323.59 Median $323.59 Typical High $436.52 | Professional | 52 · Reduced service | $323.59 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $131.83 Typical High $173.78 | Professional | 53 · Discontinued | $128.82 | $131.83 | $173.78 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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
$661
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.