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 $416.87 Median $416.87 Typical High $489.78 | Facility | None | $416.87 | $416.87 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $489.78 | Professional | None | $389.05 | $416.87 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
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 $380.19 Median $436.52 Typical High $630.96 | Professional | None | $380.19 | $436.52 | $630.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $645.65 | Professional | None | $363.08 | $457.09 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $851.14 | Professional | None | $398.11 | $478.63 | $851.14 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,412.54 Typical High $1,819.70 | Facility | None | $389.05 | $1,412.54 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $2,511.89 Typical High $10,000.00 | Professional | None | $426.58 | $2,511.89 | $10,000.00 |
United Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $1,023.29 | Professional | None | $380.19 | $489.78 | $1,023.29 |
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 $194.98 Median $204.17 Typical High $245.47 | Professional | 52 · Reduced service | $194.98 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $83.18 Typical High $97.72 | Professional | 53 · Discontinued | $77.62 | $83.18 | $97.72 |
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· 34th of 51
$447
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.