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 $446.68 Median $446.68 Typical High $524.81 | Facility | None | $446.68 | $446.68 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $524.81 | Professional | None | $416.87 | $446.68 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $776.25 | Professional | None | $398.11 | $616.60 | $776.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $794.33 | Facility | None | $489.78 | $549.54 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $870.96 | Professional | None | $389.05 | $501.19 | $870.96 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $891.25 Typical High $1,949.84 | Facility | None | $416.87 | $891.25 | $1,949.84 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $870.96 Typical High $5,623.41 | Professional | None | $489.78 | $870.96 | $5,623.41 |
United Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $1,096.48 | Professional | None | $436.52 | $602.56 | $1,096.48 |
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 $208.93 Median $223.87 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $89.13 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $89.13 | $104.71 |
Where Missouri sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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· 19th of 51
$603
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.