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 $190.55 Median $190.55 Typical High $234.42 | Facility | None | $190.55 | $190.55 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | None | $190.55 | $190.55 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $245.47 | Professional | None | $134.90 | $141.25 | $245.47 |
BCBS Kansas City Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $275.42 | Professional | None | $190.55 | $208.93 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $1,047.13 | Facility | None | $199.53 | $380.19 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $524.81 Typical High $1,288.25 | Professional | None | $181.97 | $524.81 | $1,288.25 |
United Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $363.08 | Professional | None | $181.97 | $213.80 | $363.08 |
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 $95.50 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $95.50 | $95.50 | $114.82 |
Where Missouri sits
The same service costs 3.6 times more in Alaska than in New York. 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· 35th of 51
$200
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.