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 $1,096.48 Median $1,659.59 Typical High $2,344.23 | Facility | None | $1,096.48 | $1,659.59 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,096.48 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $5,888.44 | Facility | None | $1,288.25 | $1,288.25 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $891.25 Typical High $2,344.23 | Professional | None | $512.86 | $891.25 | $2,344.23 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $3,548.13 | Facility | None | $1,778.28 | $1,995.26 | $3,548.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $2,454.71 | Professional | None | $891.25 | $1,288.25 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $4,073.80 | Facility | None | $1,318.26 | $2,511.89 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,445.44 Typical High $1,862.09 | Professional | None | $616.60 | $1,445.44 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,238.72 Typical High $6,165.95 | Facility | None | $1,122.02 | $2,238.72 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $6,456.54 | Professional | None | $645.65 | $1,348.96 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,737.80 | Professional | None | $537.03 | $776.25 | $1,737.80 |
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 $549.54 Median $549.54 Typical High $741.31 | Professional | 52 · Reduced service | $549.54 | $549.54 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $295.12 | Professional | 53 · Discontinued | $218.78 | $223.87 | $295.12 |
Where Missouri sits
The same service costs 4.9 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· 27th of 51
$1,148
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.