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 $707.95 Median $1,258.93 Typical High $2,511.89 | Facility | None | $707.95 | $1,258.93 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $616.60 Typical High $2,511.89 | Professional | None (both parts) | $562.34 | $616.60 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $758.58 Typical High $1,288.25 | Professional | None (both parts) | $257.04 | $758.58 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $5,888.44 | Facility | None | $1,000.00 | $1,621.81 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $3,467.37 | Facility | None | $645.65 | $1,258.93 | $3,467.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $724.44 Typical High $3,630.78 | Professional | None (both parts) | $363.08 | $724.44 | $3,630.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | TC · Technical part | $4,570.88 | $4,570.88 | $4,570.88 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $977.24 | Professional | None (both parts) | $302.00 | $436.52 | $977.24 |
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 $616.60 Median $616.60 Typical High $707.95 | Professional | 26 · Professional part | $616.60 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $309.03 Typical High $380.19 | Professional | 52 · Reduced service | $309.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $125.89 Typical High $154.88 | Professional | 53 · Discontinued | $123.03 | $125.89 | $154.88 |
Where Missouri sits
The same service costs 44.7 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· 18th of 51
$724
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.