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 $223.87 Median $263.03 Typical High $645.65 | Facility | None | $223.87 | $263.03 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $269.15 | Professional | None | $165.96 | $223.87 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $269.15 | Professional | None | $134.90 | $134.90 | $269.15 |
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 $138.04 Median $151.36 Typical High $257.04 | Professional | None | $138.04 | $151.36 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,445.44 Typical High $1,778.28 | Facility | None | $562.34 | $1,445.44 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $436.52 | Professional | None | $208.93 | $223.87 | $436.52 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $776.25 Typical High $1,659.59 | Facility | None | $213.80 | $776.25 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $741.31 Typical High $1,348.96 | Professional | None | $138.04 | $741.31 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Facility | None | $1,174.90 | $1,174.90 | $1,230.27 |
United Setting Professional Modifier None Typical Low $125.89 Median $316.23 Typical High $489.78 | Professional | None | $125.89 | $316.23 | $489.78 |
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 $102.33 Median $112.20 Typical High $134.90 | Professional | 52 · Reduced service | $102.33 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $53.70 | Professional | 53 · Discontinued | $41.69 | $44.67 | $53.70 |
Where Missouri sits
The same service costs 4.2 times more in New Hampshire 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· 46th of 51
$195
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.