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 $138.04 Median $138.04 Typical High $162.18 | Facility | None | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $162.18 | Professional | None | $128.82 | $138.04 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | None | $151.36 | $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 $123.03 Median $141.25 Typical High $208.93 | Professional | None | $123.03 | $141.25 | $208.93 |
BCBS Kansas City Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $204.17 | Professional | None | $117.49 | $147.91 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $281.84 | Professional | None | $128.82 | $158.49 | $281.84 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $467.74 Typical High $602.56 | Facility | None | $128.82 | $467.74 | $602.56 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $831.76 Typical High $1,258.93 | Professional | None | $138.04 | $831.76 | $1,258.93 |
United Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $338.84 | Professional | None | $123.03 | $158.49 | $338.84 |
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 $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $25.70 | $27.54 | $32.36 |
Where Missouri sits
The same service costs 2.8 times more in Alaska 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· 36th of 51
$145
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.