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 $114.82 Median $186.21 Typical High $457.09 | Facility | None | $114.82 | $186.21 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $144.54 | $239.88 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $1,096.48 | Facility | None | $186.21 | $302.00 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $630.96 | Facility | None | $120.23 | $234.42 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $134.90 Typical High $660.69 | Professional | None (both parts) | $67.61 | $134.90 | $660.69 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $56.23 | $81.28 | $181.97 |
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 $114.82 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $22.91 | $28.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $691.83 | $691.83 | $691.83 |
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· 10th of 51
$186
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.