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 $588.84 | Facility | None | $275.42 | $416.87 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
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 $158.49 Median $269.15 Typical High $588.84 | Professional | None | $158.49 | $269.15 | $588.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $616.60 Median $630.96 Typical High $1,202.26 | Facility | None | $616.60 | $630.96 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $1,862.09 | Facility | None | $446.68 | $707.95 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $489.78 | Professional | None | $186.21 | $363.08 | $489.78 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $562.34 Typical High $1,548.82 | Facility | None | $288.40 | $562.34 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $229.09 Typical High $407.38 | Professional | None | $144.54 | $229.09 | $407.38 |
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 $134.90 Median $239.88 Typical High $436.52 | Professional | None | $134.90 | $239.88 | $436.52 |
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 $54.95 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $54.95 | $74.13 |
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
$275
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.