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 $223.87 Median $316.23 Typical High $489.78 | Facility | None | $223.87 | $316.23 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $302.00 | Professional | None | $208.93 | $229.09 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $1,230.27 | Facility | None | $263.03 | $263.03 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $363.08 Typical High $562.34 | Professional | None | $104.71 | $363.08 | $562.34 |
BCBS Kansas City Setting Facility Modifier None Typical Low $269.15 Median $346.74 Typical High $660.69 | Facility | None | $269.15 | $346.74 | $660.69 |
BCBS Kansas City Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $501.19 | Professional | None | $186.21 | $239.88 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $588.84 Typical High $1,000.00 | Facility | None | $234.42 | $588.84 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $229.09 Typical High $457.09 | Professional | None | $112.20 | $229.09 | $457.09 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $1,258.93 | Facility | None | $239.88 | $446.68 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $812.83 Typical High $1,445.44 | Professional | None | $158.49 | $812.83 | $1,445.44 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $602.56 | Professional | None | $158.49 | $263.03 | $602.56 |
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 $112.20 Median $114.82 Typical High $151.36 | Professional | 52 · Reduced service | $112.20 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $60.26 | Professional | 53 · Discontinued | $44.67 | $45.71 | $60.26 |
Where Missouri sits
The same service costs 3.4 times more in Alaska than in Florida. 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
$363
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.