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 $2,454.71 Median $3,801.89 Typical High $5,370.32 | Facility | None | $2,454.71 | $3,801.89 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,290.87 | $2,511.89 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $13,489.63 | Facility | None | $2,951.21 | $2,951.21 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $5,248.07 | Professional | None | $1,174.90 | $1,819.70 | $5,248.07 |
BCBS Kansas City Setting Facility Modifier None Typical Low $4,073.80 Median $4,466.84 Typical High $7,943.28 | Facility | None | $4,073.80 | $4,466.84 | $7,943.28 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $5,495.41 | Professional | None | $2,041.74 | $2,951.21 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $5,754.40 Typical High $9,332.54 | Facility | None | $3,019.95 | $5,754.40 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $3,311.31 Typical High $4,168.69 | Professional | None | $1,380.38 | $3,311.31 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $2,511.89 Median $5,128.61 Typical High $13,803.84 | Facility | None | $2,511.89 | $5,128.61 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $3,019.95 Typical High $14,454.40 | Professional | None | $1,445.44 | $3,019.95 | $14,454.40 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $3,890.45 | Professional | None | $1,230.27 | $1,737.80 | $3,890.45 |
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 $1,230.27 Median $1,258.93 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,230.27 | $1,258.93 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $676.08 | Professional | 53 · Discontinued | $501.19 | $501.19 | $676.08 |
Where Missouri sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$2,512
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.