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 $97.72 Median $147.91 Typical High $208.93 | Facility | None | $97.72 | $147.91 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $97.72 | $112.20 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $524.81 | Facility | None | $114.82 | $114.82 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $194.98 | Professional | None (both parts) | $45.71 | $74.13 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $588.84 | Facility | None | $117.49 | $251.19 | $588.84 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $199.53 Typical High $549.54 | Facility | None | $102.33 | $199.53 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $114.82 Typical High $575.44 | Professional | None (both parts) | $57.54 | $114.82 | $575.44 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $154.88 | Professional | None (both parts) | $47.86 | $69.18 | $154.88 |
4 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 $97.72 Median $97.72 Typical High $112.20 | Professional | 26 · Professional part | $97.72 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $48.98 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $19.50 | $23.99 |
Medica Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $724.44 | $724.44 | $724.44 |
Where Missouri sits
The same service costs 12.0 times more in Texas 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· 28th of 51
$105
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.