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 $446.68 Median $676.08 Typical High $954.99 | Facility | None | $446.68 | $676.08 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | None | $446.68 | $446.68 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $2,398.83 | Facility | None | $524.81 | $524.81 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $257.04 Typical High $933.25 | Professional | None | $13.18 | $257.04 | $933.25 |
BCBS Kansas City Setting Facility Modifier None Typical Low $724.44 Median $812.83 Typical High $1,412.54 | Facility | None | $724.44 | $812.83 | $1,412.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $977.24 | Professional | None | $363.08 | $524.81 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $4,265.80 | Facility | None | $724.44 | $1,174.90 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $501.19 Typical High $676.08 | Professional | None | $245.47 | $501.19 | $676.08 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $2,454.71 | Facility | None | $467.74 | $912.01 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $537.03 Typical High $2,570.40 | Professional | None | $257.04 | $537.03 | $2,570.40 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $691.83 | Professional | None | $218.78 | $309.03 | $691.83 |
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 $218.78 Median $223.87 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $223.87 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | 53 · Discontinued | $89.13 | $89.13 | $120.23 |
Where Missouri sits
The same service costs 8.1 times more in Texas 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· 27th of 51
$479
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.