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 $134.90 Median $190.55 Typical High $338.84 | Facility | None | $134.90 | $190.55 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $234.42 | Professional | None | $134.90 | $190.55 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $398.11 | Professional | None | $288.40 | $302.00 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $316.23 | Professional | None | $120.23 | $162.18 | $316.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $169.82 Median $275.42 Typical High $323.59 | Professional | None | $169.82 | $275.42 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $371.54 | Professional | None | $181.97 | $245.47 | $371.54 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $489.78 Typical High $870.96 | Facility | None | $169.82 | $489.78 | $870.96 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $1,202.26 Typical High $1,737.80 | Professional | None | $213.80 | $1,202.26 | $1,737.80 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $338.84 | Facility | None | $323.59 | $323.59 | $338.84 |
United Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $323.59 | Professional | None | $147.91 | $213.80 | $323.59 |
1 more rate 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 $67.61 Median $95.50 Typical High $117.49 | Professional | 52 · Reduced service | $67.61 | $95.50 | $117.49 |
Where Missouri sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 45th of 51
$209
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.