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 $302.00 Median $457.09 Typical High $660.69 | Facility | None | $302.00 | $457.09 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $407.38 | Professional | None | $302.00 | $309.03 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $1,659.59 | Facility | None | $354.81 | $354.81 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $645.65 | Professional | None | $177.83 | $295.12 | $645.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $676.08 Median $707.95 Typical High $1,318.26 | Facility | None | $676.08 | $707.95 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $2,041.74 | Facility | None | $489.78 | $794.33 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $407.38 Typical High $537.03 | Professional | None | $208.93 | $407.38 | $537.03 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $630.96 Typical High $1,698.24 | Facility | None | $323.59 | $630.96 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $446.68 | Professional | None | $162.18 | $257.04 | $446.68 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
United Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $478.63 | Professional | None | $151.36 | $263.03 | $478.63 |
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 $151.36 Median $154.88 Typical High $204.17 | Professional | 52 · Reduced service | $151.36 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $83.18 | Professional | 53 · Discontinued | $60.26 | $61.66 | $83.18 |
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· 33rd of 51
$302
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.