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 $218.78 Median $331.13 Typical High $478.63 | Facility | None | $218.78 | $331.13 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $275.42 | Professional | None | $218.78 | $223.87 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $1,174.90 | Facility | None | $257.04 | $257.04 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $354.81 Typical High $645.65 | Professional | None | $131.83 | $354.81 | $645.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $977.24 | Facility | None | $389.05 | $512.86 | $977.24 |
BCBS Kansas City Setting Professional Modifier None Typical Low $181.97 Median $354.81 Typical High $602.56 | Professional | None | $181.97 | $354.81 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $575.44 Typical High $1,479.11 | Facility | None | $338.84 | $575.44 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $501.19 | Professional | None | $125.89 | $245.47 | $501.19 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $1,230.27 | Facility | None | $234.42 | $446.68 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $1,819.70 | Professional | None | $128.82 | $630.96 | $1,819.70 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $346.74 | Professional | None | $107.15 | $154.88 | $346.74 |
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 $109.65 Median $109.65 Typical High $147.91 | Professional | 52 · Reduced service | $109.65 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $58.88 | Professional | 53 · Discontinued | $43.65 | $44.67 | $58.88 |
Where Missouri sits
The same service costs 3.7 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· 9th of 51
$355
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.