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 $120.23 Median $181.97 Typical High $257.04 | Facility | None | $120.23 | $181.97 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $288.40 | Professional | None | $74.13 | $138.04 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $645.65 | Facility | None | $141.25 | $141.25 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $295.12 Typical High $436.52 | Professional | None | $79.43 | $295.12 | $436.52 |
BCBS Kansas City Setting Facility Modifier None Typical Low $37.15 Median $47.86 Typical High $295.12 | Facility | None | $37.15 | $47.86 | $295.12 |
BCBS Kansas City Setting Professional Modifier None Typical Low $57.54 Median $141.25 Typical High $269.15 | Professional | None | $57.54 | $141.25 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $812.83 | Facility | None | $186.21 | $316.23 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $147.91 Typical High $416.87 | Professional | None | $67.61 | $147.91 | $416.87 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $245.47 Typical High $676.08 | Facility | None | $125.89 | $245.47 | $676.08 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $1,148.15 Typical High $1,148.15 | Professional | None | $141.25 | $1,148.15 | $1,148.15 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $363.08 | Professional | None | $85.11 | $141.25 | $363.08 |
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 $60.26 Median $60.26 Typical High $81.28 | Professional | 52 · Reduced service | $60.26 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $23.99 | $23.99 | $32.36 |
Where Missouri sits
The same service costs 6.0 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· 6th of 51
$269
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.