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 $3,090.30 Median $4,677.35 Typical High $6,606.93 | Facility | None | $3,090.30 | $4,677.35 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,168.69 | Professional | None | $3,090.30 | $3,090.30 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $16,595.87 | Facility | None | $3,630.78 | $3,630.78 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $3,890.45 Typical High $6,760.83 | Professional | None | $1,445.44 | $3,890.45 | $6,760.83 |
BCBS Kansas City Setting Facility Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $9,772.37 | Facility | None | $5,011.87 | $5,623.41 | $9,772.37 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $6,918.31 | Professional | None | $2,511.89 | $3,630.78 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $8,128.31 Typical High $29,512.09 | Facility | None | $5,011.87 | $8,128.31 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,584.89 | $2,884.03 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $6,309.57 Typical High $16,982.44 | Facility | None | $3,235.94 | $6,309.57 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,715.35 Typical High $17,782.79 | Professional | None | $1,819.70 | $3,715.35 | $17,782.79 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $4,786.30 | Professional | None | $1,513.56 | $2,137.96 | $4,786.30 |
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 $1,513.56 Median $1,548.82 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,513.56 | $1,548.82 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | 53 · Discontinued | $616.60 | $616.60 | $831.76 |
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· 27th of 51
$3,548
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.