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 $2,630.27 Median $3,981.07 Typical High $5,754.40 | Facility | None | $2,630.27 | $3,981.07 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,691.53 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $14,454.40 | Facility | None | $3,090.30 | $3,090.30 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,548.82 Typical High $5,623.41 | Professional | None | $794.33 | $1,548.82 | $5,623.41 |
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 $2,187.76 Median $2,187.76 Typical High $5,888.44 | Professional | None | $2,187.76 | $2,187.76 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $6,918.31 Typical High $12,882.50 | Facility | None | $2,511.89 | $6,918.31 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,951.21 Typical High $4,073.80 | Professional | None | $1,412.54 | $2,951.21 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $14,791.08 | Facility | None | $2,691.53 | $4,570.88 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $15,488.17 | Professional | None | $1,548.82 | $3,090.30 | $15,488.17 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $4,168.69 | Professional | None | $1,318.26 | $1,862.09 | $4,168.69 |
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 $1,318.26 Median $1,348.96 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,318.26 | $1,348.96 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $537.03 Typical High $724.44 | Professional | 53 · Discontinued | $524.81 | $537.03 | $724.44 |
Where Missouri sits
The same service costs 6.0 times more in Texas 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· 28th of 51
$2,818
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.