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 $354.81 Median $501.19 Typical High $758.58 | Facility | None | $354.81 | $501.19 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $478.63 | Professional | None | $354.81 | $380.19 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,905.46 | Facility | None | $416.87 | $416.87 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $758.58 | Professional | None | $204.17 | $346.74 | $758.58 |
BCBS Kansas City Setting Facility Modifier None Typical Low $794.33 Median $812.83 Typical High $1,548.82 | Facility | None | $794.33 | $812.83 | $1,548.82 |
BCBS Kansas City Setting Professional Modifier None Typical Low $295.12 Median $562.34 Typical High $954.99 | Professional | None | $295.12 | $562.34 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $2,398.83 | Facility | None | $398.11 | $933.25 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $707.95 | Professional | None | $204.17 | $363.08 | $707.95 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $1,995.26 | Facility | None | $363.08 | $691.83 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $467.74 Typical High $2,089.30 | Professional | None | $208.93 | $467.74 | $2,089.30 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $562.34 | Professional | None | $173.78 | $251.19 | $562.34 |
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 $177.83 Median $177.83 Typical High $239.88 | Professional | 52 · Reduced service | $177.83 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $72.44 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $72.44 | $95.50 |
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· 32nd of 51
$398
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.