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 $645.65 Median $977.24 Typical High $1,412.54 | Facility | None | $645.65 | $977.24 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $660.69 Typical High $812.83 | Professional | None (both parts) | $645.65 | $660.69 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $588.84 Typical High $1,380.38 | Professional | None (both parts) | $169.82 | $588.84 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $6,165.95 | Facility | None | $1,047.13 | $1,698.24 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,318.26 Typical High $3,630.78 | Facility | None | $691.83 | $1,318.26 | $3,630.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $758.58 Typical High $3,801.89 | Professional | None (both parts) | $380.19 | $758.58 | $3,801.89 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $1,023.29 | Professional | None (both parts) | $316.23 | $457.09 | $1,023.29 |
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 $645.65 Median $660.69 Typical High $741.31 | Professional | 26 · Professional part | $645.65 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $407.38 | Professional | 52 · Reduced service | $323.59 | $323.59 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $131.83 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $131.83 | $162.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | TC · Technical part | $3,890.45 | $3,890.45 | $3,890.45 |
Where Missouri sits
The same service costs 12.0 times more in Texas 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· 21st of 51
$741
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.