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 $257.04 Median $263.03 Typical High $309.03 | Facility | None | $257.04 | $263.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $309.03 | Professional | None | $239.88 | $257.04 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
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 $234.42 Median $269.15 Typical High $389.05 | Professional | None | $234.42 | $269.15 | $389.05 |
BCBS Kansas City Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $398.11 | Professional | None | $223.87 | $281.84 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $537.03 | Professional | None | $245.47 | $302.00 | $537.03 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $891.25 Typical High $1,122.02 | Facility | None | $245.47 | $891.25 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $1,548.82 Typical High $5,011.87 | Professional | None | $263.03 | $1,548.82 | $5,011.87 |
United Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $630.96 | Professional | None | $234.42 | $302.00 | $630.96 |
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 $120.23 Median $128.82 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $61.66 | Professional | 53 · Discontinued | $47.86 | $51.29 | $61.66 |
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· 32nd of 51
$275
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.