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 $28.84 Median $43.65 Typical High $61.66 | Facility | None | $28.84 | $43.65 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $35.48 | Professional | None (both parts) | $28.84 | $28.84 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $154.88 | Facility | None | $33.88 | $33.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $13.49 Median $21.88 Typical High $58.88 | Professional | None (both parts) | $13.49 | $21.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $275.42 | Facility | None | $46.77 | $75.86 | $275.42 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $58.88 Typical High $162.18 | Facility | None | $30.20 | $58.88 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $16.98 Median $35.48 Typical High $169.82 | Professional | None (both parts) | $16.98 | $35.48 | $169.82 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $20.42 Typical High $45.71 | Professional | None (both parts) | $14.13 | $20.42 | $45.71 |
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 $28.84 Median $28.84 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $17.78 | Professional | 52 · Reduced service | $14.45 | $14.45 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $7.24 | Professional | 53 · Discontinued | $5.75 | $5.75 | $7.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
Where Missouri sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$29.51
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.