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 $512.86 Median $831.76 Typical High $2,089.30 | Facility | None | $512.86 | $831.76 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $524.81 | Professional | None (both parts) | $398.11 | $512.86 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $457.09 | $645.65 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $4,897.79 | Facility | None | $831.76 | $1,348.96 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,047.13 Typical High $2,884.03 | Facility | None | $549.54 | $1,047.13 | $2,884.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $602.56 Typical High $3,019.95 | Professional | None (both parts) | $302.00 | $602.56 | $3,019.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $257.04 | $363.08 | $812.83 |
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 $512.86 Median $524.81 Typical High $588.84 | Professional | 26 · Professional part | $512.86 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $257.04 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $102.33 | $104.71 | $128.82 |
Where Missouri sits
The same service costs 47.9 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· 25th of 51
$550
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.