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 $741.31 Median $741.31 Typical High $851.14 | Facility | None | $741.31 | $741.31 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $851.14 | Professional | None | $707.95 | $741.31 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
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 $691.83 Median $812.83 Typical High $1,288.25 | Professional | None | $691.83 | $812.83 | $1,288.25 |
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 $724.44 Median $776.25 Typical High $1,412.54 | Professional | None | $724.44 | $776.25 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,659.59 Typical High $3,467.37 | Facility | None | $691.83 | $1,659.59 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,995.26 Typical High $4,677.35 | Professional | None | $707.95 | $1,995.26 | $4,677.35 |
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 $676.08 Median $870.96 Typical High $1,819.70 | Professional | None | $676.08 | $870.96 | $1,819.70 |
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 $354.81 Median $371.54 Typical High $426.58 | Professional | 52 · Reduced service | $354.81 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $147.91 Typical High $173.78 | Professional | 53 · Discontinued | $141.25 | $147.91 | $173.78 |
Where Missouri sits
The same service costs 4.1 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· 26th of 51
$813
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.