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 $2,754.23 Median $4,168.69 Typical High $6,025.60 | Facility | None | $2,754.23 | $4,168.69 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,818.38 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $14,791.08 | Facility | None | $3,235.94 | $3,235.94 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,584.89 Typical High $5,888.44 | Professional | None | $794.33 | $1,584.89 | $5,888.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $6,165.95 | Professional | None | $2,290.87 | $2,290.87 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $7,244.36 Typical High $11,748.98 | Facility | None | $2,630.27 | $7,244.36 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $3,090.30 Typical High $4,168.69 | Professional | None | $1,479.11 | $3,090.30 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $2,454.71 Median $4,168.69 Typical High $15,488.17 | Facility | None | $2,454.71 | $4,168.69 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $3,235.94 Typical High $16,218.10 | Professional | None | $1,621.81 | $3,235.94 | $16,218.10 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $4,265.80 | Professional | None | $1,348.96 | $1,949.84 | $4,265.80 |
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 $1,380.38 Median $1,380.38 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $562.34 Typical High $741.31 | Professional | 53 · Discontinued | $549.54 | $562.34 | $741.31 |
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· 24th of 51
$2,884
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.