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 $562.34 Median $2,884.03 Typical High $3,801.89 | Facility | None | $562.34 | $2,884.03 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $660.69 Typical High $660.69 | Professional | None | $186.21 | $660.69 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $295.12 | Professional | None | $134.90 | $190.55 | $295.12 |
BCBS Kansas City Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $213.80 | Professional | None | $134.90 | $141.25 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $407.38 Typical High $724.44 | Facility | None | $141.25 | $407.38 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $630.96 Typical High $891.25 | Professional | None | $309.03 | $630.96 | $891.25 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $331.13 Typical High $741.31 | Facility | None | $190.55 | $331.13 | $741.31 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $1,318.26 Typical High $1,318.26 | Professional | None | $239.88 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $316.23 | Facility | None | $302.00 | $302.00 | $316.23 |
United Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $389.05 | Professional | None | $151.36 | $302.00 | $389.05 |
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 $74.13 Median $77.62 Typical High $89.13 | Professional | 52 · Reduced service | $74.13 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $29.51 | $30.90 | $35.48 |
Where Missouri sits
The same service costs 5.0 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· 25th of 51
$204
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.