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 $489.78 Median $870.96 Typical High $1,737.80 | Facility | None | $489.78 | $870.96 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $575.44 Typical High $1,737.80 | Professional | None (both parts) | $251.19 | $575.44 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $2,344.23 | Facility | None | $501.19 | $501.19 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $630.96 | Professional | None (both parts) | $199.53 | $302.00 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $977.24 Typical High $2,570.40 | Facility | None | $512.86 | $977.24 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $660.69 | Professional | None (both parts) | $524.81 | $524.81 | $660.69 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $870.96 Typical High $2,398.83 | Facility | None | $436.52 | $870.96 | $2,398.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $213.80 | $302.00 | $602.56 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $676.08 | Professional | None (both parts) | $213.80 | $302.00 | $676.08 |
3 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 26 · Professional part Typical Low $426.58 Median $436.52 Typical High $537.03 | Professional | 26 · Professional part | $426.58 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $218.78 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $87.10 Typical High $114.82 | Professional | 53 · Discontinued | $85.11 | $87.10 | $114.82 |
Where Missouri sits
The same service costs 3.9 times more in Wyoming 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· 37th of 51
$347
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.