How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $302.00 Median $8,709.64 Typical High $8,709.64 | Facility | None | $302.00 | $8,709.64 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $380.19 | Professional | None | $302.00 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $151.36 Typical High $190.55 | Professional | 52 · Reduced service | $151.36 | $151.36 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $398.11 | Professional | None | $95.50 | $199.53 | $398.11 |
BCBS Kansas City Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $89.13 Typical High $446.68 | Facility | None | $54.95 | $89.13 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $138.04 | Professional | None | $109.65 | $109.65 | $138.04 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $302.00 Typical High $457.09 | Facility | None | $158.49 | $302.00 | $457.09 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Facility | None | $165.96 | $165.96 | $173.78 |
1 more rate 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 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $60.26 | $75.86 |
Where Missouri sits
The same service costs 25.1 times more in Vermont than in Michigan. 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· 14th of 51
$302
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.