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 $208.93 Median $213.80 Typical High $251.19 | Facility | None | $208.93 | $213.80 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $251.19 | Professional | None | $199.53 | $208.93 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
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 $190.55 Median $223.87 Typical High $316.23 | Professional | None | $190.55 | $223.87 | $316.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $323.59 | Professional | None | $186.21 | $234.42 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $436.52 | Professional | None | $199.53 | $245.47 | $436.52 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $724.44 Typical High $912.01 | Facility | None | $199.53 | $724.44 | $912.01 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $1,288.25 Typical High $1,288.25 | Professional | None | $213.80 | $1,288.25 | $1,288.25 |
United Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $524.81 | Professional | None | $190.55 | $251.19 | $524.81 |
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 $97.72 Median $104.71 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $41.69 | $50.12 |
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
$224
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.