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 $2,089.30 Median $3,162.28 Typical High $4,466.84 | Facility | None | $2,089.30 | $3,162.28 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,570.40 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.12 Median $2,630.27 Typical High $4,466.84 | Professional | None (both parts) | $9.12 | $2,630.27 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,495.41 Typical High $19,952.62 | Facility | None | $3,388.44 | $5,495.41 | $19,952.62 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $4,265.80 Typical High $11,748.98 | Facility | None | $2,187.76 | $4,265.80 | $11,748.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,454.71 Typical High $12,302.69 | Professional | None (both parts) | $1,230.27 | $2,454.71 | $12,302.69 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $3,311.31 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $3,311.31 |
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 $2,089.30 Median $2,089.30 Typical High $2,398.83 | Professional | 26 · Professional part | $2,089.30 | $2,089.30 | $2,398.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | 53 · Discontinued | $416.87 | $416.87 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | TC · Technical part | $12,589.25 | $12,589.25 | $12,589.25 |
Where Missouri sits
The same service costs 8.9 times more in Alaska than in Ohio. 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· 22nd of 51
$2,399
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.