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 $123.03 Median $186.21 Typical High $263.03 | Facility | None | $123.03 | $186.21 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $138.04 Typical High $295.12 | Professional | None | $75.86 | $138.04 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $660.69 | Facility | None | $144.54 | $144.54 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $263.03 Typical High $398.11 | Professional | None | $70.79 | $263.03 | $398.11 |
BCBS Kansas City Setting Facility Modifier None Typical Low $37.15 Median $47.86 Typical High $263.03 | Facility | None | $37.15 | $47.86 | $263.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $57.54 Median $144.54 Typical High $275.42 | Professional | None | $57.54 | $144.54 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $724.44 | Facility | None | $165.96 | $316.23 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $371.54 | Professional | None | $69.18 | $138.04 | $371.54 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $223.87 Typical High $676.08 | Facility | None | $93.33 | $223.87 | $676.08 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $1,047.13 Typical High $1,047.13 | Professional | None | $144.54 | $1,047.13 | $1,047.13 |
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 $87.10 Median $144.54 Typical High $371.54 | Professional | None | $87.10 | $144.54 | $371.54 |
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 $61.66 Median $61.66 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $61.66 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $24.55 | $33.11 |
Where Missouri sits
The same service costs 5.6 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· 10th of 51
$257
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.