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 $676.08 Median $1,023.29 Typical High $1,479.11 | Facility | None | $676.08 | $1,023.29 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $912.01 | Professional | None | $676.08 | $676.08 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $3,630.78 | Facility | None | $794.33 | $794.33 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $1,445.44 | Professional | None | $645.65 | $707.95 | $1,445.44 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $2,187.76 | Facility | None | $1,096.48 | $1,230.27 | $2,187.76 |
BCBS Kansas City Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,513.56 | Professional | None | $562.34 | $794.33 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $6,456.54 | Facility | None | $1,096.48 | $1,778.28 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $912.01 Typical High $1,148.15 | Professional | None | $380.19 | $912.01 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $3,801.89 | Facility | None | $691.83 | $1,380.38 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $831.76 Typical High $3,981.07 | Professional | None | $398.11 | $831.76 | $3,981.07 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $1,071.52 | Professional | None | $331.13 | $478.63 | $1,071.52 |
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 $338.84 Median $338.84 Typical High $457.09 | Professional | 52 · Reduced service | $338.84 | $338.84 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $181.97 | Professional | 53 · Discontinued | $134.90 | $138.04 | $181.97 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 20th of 51
$759
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.