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 $141.25 Median $162.18 Typical High $302.00 | Facility | None | $141.25 | $162.18 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | None | $141.25 | $141.25 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $138.04 Typical High $194.98 | Professional | None | $60.26 | $138.04 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $151.36 Typical High $269.15 | Professional | None | $57.54 | $151.36 | $269.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $389.05 | Facility | None | $199.53 | $218.78 | $389.05 |
BCBS Kansas City Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $269.15 | Professional | None | $100.00 | $141.25 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $316.23 Typical High $1,148.15 | Facility | None | $194.98 | $316.23 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $208.93 | Professional | None | $67.61 | $141.25 | $208.93 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $169.82 Typical High $676.08 | Facility | None | $81.28 | $169.82 | $676.08 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $707.95 | Professional | None | $67.61 | $151.36 | $707.95 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $190.55 | Professional | None | $64.57 | $91.20 | $190.55 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Missouri sits
The same service costs 4.3 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· 23rd of 51
$141
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.