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 $223.87 Median $223.87 Typical High $263.03 | Facility | None | $223.87 | $223.87 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $263.03 | Professional | None | $208.93 | $223.87 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $416.87 | Professional | None | $186.21 | $281.84 | $416.87 |
BCBS Kansas City Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
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 $194.98 Median $251.19 Typical High $436.52 | Professional | None | $194.98 | $251.19 | $436.52 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $446.68 Typical High $977.24 | Facility | None | $208.93 | $446.68 | $977.24 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $2,818.38 | Professional | None | $245.47 | $436.52 | $2,818.38 |
United Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $549.54 | Professional | None | $218.78 | $302.00 | $549.54 |
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 $104.71 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $104.71 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $41.69 | $44.67 | $52.48 |
Where Missouri sits
The same service costs 67.6 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· 24th of 51
$295
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.