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 $275.42 Median $416.87 Typical High $602.56 | Facility | None | $275.42 | $416.87 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $316.23 | Professional | None | $239.88 | $275.42 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,479.11 | Facility | None | $323.59 | $323.59 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $446.68 | Professional | None | $104.71 | $128.82 | $446.68 |
BCBS Kansas City Setting Facility Modifier None Typical Low $239.88 Median $251.19 Typical High $467.74 | Facility | None | $239.88 | $251.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $707.95 Typical High $1,023.29 | Facility | None | $181.97 | $707.95 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $251.19 Typical High $389.05 | Professional | None | $83.18 | $251.19 | $389.05 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $489.78 Typical High $1,548.82 | Facility | None | $194.98 | $489.78 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $389.05 | Professional | None | $104.71 | $194.98 | $389.05 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $426.58 | Professional | None | $104.71 | $194.98 | $426.58 |
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 $138.04 Median $138.04 Typical High $186.21 | Professional | 52 · Reduced service | $138.04 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $56.23 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $56.23 | $74.13 |
Where Missouri sits
The same service costs 7.9 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· 38th of 51
$224
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.