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 $173.78 Median $173.78 Typical High $213.80 | Facility | None | $173.78 | $173.78 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $213.80 | Professional | None | $173.78 | $173.78 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $234.42 | Professional | None | $131.83 | $134.90 | $234.42 |
BCBS Kansas City Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $263.03 | Professional | None | $181.97 | $199.53 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $954.99 | Facility | None | $190.55 | $354.81 | $954.99 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $489.78 Typical High $1,174.90 | Professional | None | $177.83 | $489.78 | $1,174.90 |
United Setting Professional Modifier None Typical Low $177.83 Median $199.53 Typical High $331.13 | Professional | None | $177.83 | $199.53 | $331.13 |
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 $87.10 Median $87.10 Typical High $104.71 | Professional | 52 · Reduced service | $87.10 | $87.10 | $104.71 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 31st of 51
$191
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.