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 $933.25 Median $1,949.84 Typical High $8,709.64 | Facility | None | $933.25 | $1,949.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,258.93 | Professional | None | $912.01 | $933.25 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $2,691.53 | Professional | None | $912.01 | $1,023.29 | $2,691.53 |
BCBS Kansas City Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $281.84 Typical High $4,365.16 | Facility | None | $47.86 | $281.84 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,148.15 Typical High $1,698.24 | Professional | None | $467.74 | $1,148.15 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $7,244.36 | Facility | None | $933.25 | $2,290.87 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,348.96 | Professional | None | $436.52 | $616.60 | $1,348.96 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $562.34 | Facility | None | $537.03 | $537.03 | $562.34 |
United Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $1,698.24 | Professional | None | $416.87 | $691.83 | $1,698.24 |
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 $457.09 Median $467.74 Typical High $630.96 | Professional | 52 · Reduced service | $457.09 | $467.74 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $186.21 Typical High $251.19 | Professional | 53 · Discontinued | $181.97 | $186.21 | $251.19 |
Where Missouri sits
The same service costs 43.7 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· 21st of 51
$1,000
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.