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 $4,677.35 Median $7,079.46 Typical High $10,000.00 | Facility | None | $4,677.35 | $7,079.46 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $6,309.57 | Professional | None | $4,677.35 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $25,118.86 | Facility | None | $5,370.32 | $5,370.32 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $5,888.44 Typical High $10,232.93 | Professional | None | $2,187.76 | $5,888.44 | $10,232.93 |
BCBS Kansas City Setting Facility Modifier None Typical Low $7,585.78 Median $8,511.38 Typical High $15,135.61 | Facility | None | $7,585.78 | $8,511.38 | $15,135.61 |
BCBS Kansas City Setting Professional Modifier None Typical Low $3,801.89 Median $5,495.41 Typical High $10,232.93 | Professional | None | $3,801.89 | $5,495.41 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $12,302.69 Typical High $44,668.36 | Facility | None | $7,585.78 | $12,302.69 | $44,668.36 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $4,466.84 Typical High $7,413.10 | Professional | None | $2,398.83 | $4,466.84 | $7,413.10 |
Medica Setting Facility Modifier None Typical Low $4,897.79 Median $9,549.93 Typical High $25,703.96 | Facility | None | $4,897.79 | $9,549.93 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $5,495.41 Typical High $26,915.35 | Professional | None | $2,691.53 | $5,495.41 | $26,915.35 |
United Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $7,413.10 | Professional | None | $2,290.87 | $3,311.31 | $7,413.10 |
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 $2,344.23 Median $2,344.23 Typical High $3,162.28 | Professional | 52 · Reduced service | $2,344.23 | $2,344.23 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Professional | 53 · Discontinued | $933.25 | $933.25 | $1,258.93 |
Where Missouri sits
The same service costs 6.2 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· 23rd of 51
$5,370
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.