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 $134.90 Median $147.91 Typical High $190.55 | Facility | None | $134.90 | $147.91 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $158.49 | Professional | None | $128.82 | $134.90 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $169.82 | Professional | None | $107.15 | $169.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $213.80 | Professional | None | $97.72 | $114.82 | $213.80 |
BCBS Kansas City Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $186.21 | Professional | None | $128.82 | $138.04 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $446.68 | Facility | None | $194.98 | $323.59 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $257.04 | Professional | None | $107.15 | $128.82 | $257.04 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $239.88 Typical High $549.54 | Facility | None | $134.90 | $239.88 | $549.54 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $363.08 Typical High $912.01 | Professional | None | $109.65 | $363.08 | $912.01 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Facility | None | $407.38 | $407.38 | $426.58 |
United Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $309.03 | Professional | None | $102.33 | $158.49 | $309.03 |
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 $64.57 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $26.92 | $31.62 |
Where Missouri sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 43rd of 51
$129
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.