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 $21.38 Median $32.36 Typical High $45.71 | Facility | None | $21.38 | $32.36 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $28.84 | Professional | None (both parts) | $21.38 | $21.38 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $114.82 | Facility | None | $25.12 | $25.12 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $14.13 Median $23.99 Typical High $52.48 | Professional | None (both parts) | $14.13 | $23.99 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $54.95 Typical High $128.82 | Facility | None | $28.18 | $54.95 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $43.65 Typical High $120.23 | Facility | None | $21.88 | $43.65 | $120.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $10.47 Median $25.12 Typical High $125.89 | Professional | None (both parts) | $10.47 | $25.12 | $125.89 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None (both parts) Typical Low $10.47 Median $15.14 Typical High $32.36 | Professional | None (both parts) | $10.47 | $15.14 | $32.36 |
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 $21.38 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $21.38 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 52 · Reduced service | $10.72 | $10.72 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.27 | $4.37 | $5.37 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
Where Missouri sits
The same service costs 4.9 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· 30th of 51
$22.91
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.