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 $707.95 Median $1,096.48 Typical High $1,548.82 | Facility | None | $707.95 | $1,096.48 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $977.24 | Professional | None | $707.95 | $724.44 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $3,890.45 | Facility | None | $831.76 | $831.76 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $398.11 Typical High $1,445.44 | Professional | None | $95.50 | $398.11 | $1,445.44 |
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 $588.84 Median $588.84 Typical High $1,584.89 | Professional | None | $588.84 | $588.84 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,862.09 Typical High $2,691.53 | Facility | None | $407.38 | $1,862.09 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $954.99 Typical High $1,202.26 | Professional | None | $398.11 | $954.99 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $3,981.07 | Facility | None | $512.86 | $1,479.11 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $831.76 Typical High $4,168.69 | Professional | None | $354.81 | $831.76 | $4,168.69 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $1,096.48 | Professional | None | $354.81 | $501.19 | $1,096.48 |
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 $354.81 Median $363.08 Typical High $478.63 | Professional | 52 · Reduced service | $354.81 | $363.08 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $194.98 | Professional | 53 · Discontinued | $144.54 | $144.54 | $194.98 |
Where Missouri sits
The same service costs 5.4 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· 24th 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.