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 $1,479.11 Median $2,398.83 Typical High $3,548.13 | Facility | None | $1,479.11 | $2,398.83 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,698.24 Typical High $1,995.26 | Professional | None (both parts) | $1,479.11 | $1,698.24 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,479.11 Typical High $3,162.28 | Professional | None (both parts) | $1,258.93 | $1,479.11 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $15,848.93 | Facility | None | $2,691.53 | $4,365.16 | $15,848.93 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,388.44 Typical High $9,332.54 | Facility | None | $1,584.89 | $3,388.44 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,737.80 Typical High $9,772.37 | Professional | None (both parts) | $870.96 | $1,737.80 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,047.13 Typical High $2,344.23 | Professional | None (both parts) | $741.31 | $1,047.13 | $2,344.23 |
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 $1,479.11 Median $1,659.59 Typical High $1,698.24 | Professional | 26 · Professional part | $1,479.11 | $1,659.59 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $831.76 Typical High $1,000.00 | Professional | 52 · Reduced service | $741.31 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $338.84 Typical High $407.38 | Professional | 53 · Discontinued | $295.12 | $338.84 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | TC · Technical part | $10,000.00 | $10,000.00 | $10,000.00 |
Where Missouri sits
The same service costs 154.9 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· 22nd of 51
$1,698
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.