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 $223.87 Median $338.84 Typical High $562.34 | Facility | None | $223.87 | $338.84 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $302.00 | Professional | None | $204.17 | $223.87 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $1,202.26 | Facility | None | $263.03 | $263.03 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $281.84 Typical High $489.78 | Professional | None | $104.71 | $281.84 | $489.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $724.44 | Facility | None | $363.08 | $407.38 | $724.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $186.21 Median $263.03 Typical High $501.19 | Professional | None | $186.21 | $263.03 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $2,137.96 | Facility | None | $363.08 | $588.84 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $354.81 | Professional | None | $114.82 | $213.80 | $354.81 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $457.09 Typical High $1,258.93 | Facility | None | $234.42 | $457.09 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $275.42 Typical High $1,318.26 | Professional | None | $131.83 | $275.42 | $1,318.26 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $354.81 | Professional | None | $109.65 | $158.49 | $354.81 |
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 $112.20 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $112.20 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $60.26 | Professional | 53 · Discontinued | $44.67 | $45.71 | $60.26 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$257
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.