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 $281.84 Typical High $316.23 | Professional | None | $239.88 | $281.84 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,513.56 | Facility | None | $323.59 | $323.59 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $407.38 | Professional | None | $95.50 | $131.83 | $407.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $218.78 Median $223.87 Typical High $426.58 | Facility | None | $218.78 | $223.87 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $645.65 Typical High $1,047.13 | Facility | None | $162.18 | $645.65 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $257.04 Typical High $389.05 | Professional | None | $75.86 | $257.04 | $389.05 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $446.68 Typical High $1,548.82 | Facility | None | $177.83 | $446.68 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $389.05 | Professional | None | $95.50 | $194.98 | $389.05 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $426.58 | Professional | None | $95.50 | $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 $141.25 Typical High $186.21 | Professional | 52 · Reduced service | $138.04 | $141.25 | $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 8.9 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· 39th of 51
$214
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.