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 Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None (both parts) | $10.00 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $3,162.28 | Facility | None | $676.08 | $676.08 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $77.62 | $616.60 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $5,495.41 | Facility | None | $933.25 | $1,513.56 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,174.90 Typical High $3,235.94 | Facility | None | $616.60 | $1,174.90 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $707.95 Typical High $3,388.44 | Professional | None (both parts) | $338.84 | $707.95 | $3,388.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | TC · Technical part | $4,265.80 | $4,265.80 | $4,265.80 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $912.01 | Professional | None (both parts) | $288.40 | $407.38 | $912.01 |
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 Facility Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $131.83 | Facility | 53 · Discontinued | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $588.84 Typical High $660.69 | Professional | 26 · Professional part | $575.44 | $588.84 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $295.12 Typical High $331.13 | Professional | 52 · Reduced service | $288.40 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $117.49 Typical High $131.83 | Professional | 53 · Discontinued | $114.82 | $117.49 | $131.83 |
Where Missouri sits
The same service costs 11.7 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· 25th of 51
$661
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.