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 $446.68 Median $446.68 Typical High $524.81 | Facility | None | $446.68 | $446.68 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $524.81 | Professional | None | $436.52 | $446.68 | $524.81 |
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 $501.19 Median $562.34 Typical High $912.01 | Professional | None | $501.19 | $562.34 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $831.76 Typical High $912.01 | Facility | None | $323.59 | $831.76 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $870.96 | Professional | None | $446.68 | $478.63 | $870.96 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,137.96 | Facility | None | $416.87 | $977.24 | $2,137.96 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $1,318.26 Typical High $2,818.38 | Professional | None | $436.52 | $1,318.26 | $2,818.38 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $724.44 | Facility | None | $676.08 | $676.08 | $724.44 |
United Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $1,071.52 | Professional | None | $416.87 | $524.81 | $1,071.52 |
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 $213.80 Median $223.87 Typical High $263.03 | Professional | 52 · Reduced service | $213.80 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $104.71 | Professional | 53 · Discontinued | $87.10 | $89.13 | $104.71 |
Where Missouri sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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· 22nd of 51
$562
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.