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 $467.74 Median $549.54 Typical High $1,122.02 | Facility | None | $467.74 | $549.54 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $549.54 | Professional | None | $436.52 | $467.74 | $549.54 |
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 $436.52 Median $478.63 Typical High $776.25 | Professional | None | $436.52 | $478.63 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $912.01 | Facility | None | $562.34 | $831.76 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $891.25 | Professional | None | $457.09 | $489.78 | $891.25 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,000.00 Typical High $2,187.76 | Facility | None | $446.68 | $1,000.00 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $1,318.26 Typical High $2,818.38 | Professional | None | $426.58 | $1,318.26 | $2,818.38 |
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 $407.38 Median $537.03 Typical High $1,174.90 | Professional | None | $407.38 | $537.03 | $1,174.90 |
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 $234.42 Typical High $275.42 | Professional | 52 · Reduced service | $213.80 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $93.33 Typical High $109.65 | Professional | 53 · Discontinued | $87.10 | $93.33 | $109.65 |
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· 33rd of 51
$490
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.