How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $436.52 Median $1,047.13 Typical High $1,047.13 | Facility | None | $436.52 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $1,047.13 | Professional | None | $436.52 | $602.56 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,023.29 | $1,778.28 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $891.25 | Professional | None | $660.69 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $1,698.24 | Facility | None | $1,023.29 | $1,513.56 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $2,041.74 Typical High $5,623.41 | Facility | None | $549.54 | $2,041.74 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $6,165.95 | Professional | None | $891.25 | $891.25 | $6,165.95 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,000.00 | Professional | None | $851.14 | $891.25 | $1,000.00 |
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 $218.78 Median $295.12 Typical High $512.86 | Professional | 52 · Reduced service | $218.78 | $295.12 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | 53 · Discontinued | $87.10 | $120.23 | $208.93 |
Where Missouri sits
The same service costs 6.2 times more in Hawaii than in Kansas. 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
$891
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.