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 $794.33 Median $1,202.26 Typical High $1,737.80 | Facility | None | $794.33 | $1,202.26 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $1,071.52 | Professional | None | $794.33 | $812.83 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $4,365.16 | Facility | None | $933.25 | $933.25 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $1,698.24 | Professional | None | $371.54 | $645.65 | $1,698.24 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,570.40 | Facility | None | $1,288.25 | $1,445.44 | $2,570.40 |
BCBS Kansas City Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,778.28 | Professional | None | $660.69 | $933.25 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $2,951.21 | Facility | None | $954.99 | $1,819.70 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,071.52 Typical High $1,348.96 | Professional | None | $446.68 | $1,071.52 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,621.81 Typical High $4,466.84 | Facility | None | $812.83 | $1,621.81 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $977.24 Typical High $4,677.35 | Professional | None | $467.74 | $977.24 | $4,677.35 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,258.93 | Professional | None | $389.05 | $562.34 | $1,258.93 |
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 $398.11 Median $398.11 Typical High $537.03 | Professional | 52 · Reduced service | $398.11 | $398.11 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $162.18 Typical High $213.80 | Professional | 53 · Discontinued | $158.49 | $162.18 | $213.80 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 29th of 51
$851
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.