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 $93.33 Median $245.47 Typical High $346.74 | Facility | None | $93.33 | $245.47 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $218.78 | Professional | None | $162.18 | $162.18 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $870.96 | Facility | None | $190.55 | $190.55 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $295.12 | Professional | None | $72.44 | $107.15 | $295.12 |
BCBS Kansas City Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $144.54 | Facility | None | $58.88 | $77.62 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $323.59 Typical High $512.86 | Facility | None | $69.18 | $323.59 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $147.91 Typical High $257.04 | Professional | None | $33.88 | $147.91 | $257.04 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $229.09 Typical High $891.25 | Facility | None | $83.18 | $229.09 | $891.25 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $114.82 Typical High $229.09 | Professional | None | $44.67 | $114.82 | $229.09 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $44.67 Median $114.82 Typical High $245.47 | Professional | None | $44.67 | $114.82 | $245.47 |
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 $81.28 Median $81.28 Typical High $109.65 | Professional | 52 · Reduced service | $81.28 | $81.28 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | 53 · Discontinued | $32.36 | $32.36 | $43.65 |
Where Missouri sits
The same service costs 11.2 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· 39th of 51
$115
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.