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 $162.18 Median $190.55 Typical High $239.88 | Facility | None | $162.18 | $190.55 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | None | $151.36 | $162.18 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | None | $204.17 | $204.17 | $251.19 |
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 $147.91 Median $169.82 Typical High $245.47 | Professional | None | $147.91 | $169.82 | $245.47 |
BCBS Kansas City Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $245.47 | Professional | None | $141.25 | $177.83 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $331.13 | Professional | None | $151.36 | $186.21 | $331.13 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $549.54 Typical High $724.44 | Facility | None | $154.88 | $549.54 | $724.44 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $977.24 Typical High $977.24 | Professional | None | $162.18 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $407.38 | Professional | None | $144.54 | $186.21 | $407.38 |
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 $75.86 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $30.20 | $32.36 | $38.02 |
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· 35th of 51
$170
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.