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 $223.87 Median $316.23 Typical High $562.34 | Facility | None | $223.87 | $316.23 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $281.84 | Professional | None | $194.98 | $223.87 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $1,202.26 | Facility | None | $263.03 | $263.03 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $177.83 Typical High $478.63 | Professional | None | $104.71 | $177.83 | $478.63 |
BCBS Kansas City Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $794.33 | Facility | None | $407.38 | $416.87 | $794.33 |
BCBS Kansas City Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $501.19 | Professional | None | $186.21 | $288.40 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $588.84 Typical High $1,230.27 | Facility | None | $213.80 | $588.84 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $371.54 | Professional | None | $120.23 | $204.17 | $371.54 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $407.38 Typical High $1,258.93 | Facility | None | $239.88 | $407.38 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $275.42 Typical High $1,318.26 | Professional | None | $131.83 | $275.42 | $1,318.26 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $354.81 | Professional | None | $109.65 | $158.49 | $354.81 |
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 $112.20 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $112.20 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $60.26 | Professional | 53 · Discontinued | $44.67 | $45.71 | $60.26 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 29th of 51
$240
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.