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 $3,311.31 Median $5,011.87 Typical High $7,079.46 | Facility | None | $3,311.31 | $5,011.87 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $4,466.84 | Professional | None | $3,311.31 | $3,311.31 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $17,782.79 | Facility | None | $3,890.45 | $3,890.45 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $6,918.31 | Professional | None | $1,548.82 | $2,089.30 | $6,918.31 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $7,413.10 | Professional | None | $2,691.53 | $3,388.44 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $8,709.64 Typical High $14,454.40 | Facility | None | $3,162.28 | $8,709.64 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $3,715.35 Typical High $5,623.41 | Professional | None | $1,819.70 | $3,715.35 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $3,467.37 Median $5,011.87 Typical High $18,197.01 | Facility | None | $3,467.37 | $5,011.87 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $3,890.45 Typical High $19,498.45 | Professional | None | $1,862.09 | $3,890.45 | $19,498.45 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $5,128.61 | Professional | None | $1,621.81 | $2,344.23 | $5,128.61 |
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 $1,659.59 Median $1,659.59 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,659.59 | $1,659.59 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | 53 · Discontinued | $660.69 | $660.69 | $891.25 |
Where Missouri sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 26th of 51
$3,467
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.