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 $2,454.71 Median $3,801.89 Typical High $5,370.32 | Facility | None | $2,454.71 | $3,801.89 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,511.89 Typical High $3,090.30 | Professional | None (both parts) | $2,454.71 | $2,511.89 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $2,290.87 Typical High $5,248.07 | Professional | None (both parts) | $208.93 | $2,290.87 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $3,981.07 Median $6,456.54 Typical High $23,988.33 | Facility | None | $3,981.07 | $6,456.54 | $23,988.33 |
Medica Setting Facility Modifier None Typical Low $2,630.27 Median $5,128.61 Typical High $13,803.84 | Facility | None | $2,630.27 | $5,128.61 | $13,803.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,951.21 Typical High $14,454.40 | Professional | None (both parts) | $1,445.44 | $2,951.21 | $14,454.40 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,737.80 Typical High $3,890.45 | Professional | None (both parts) | $1,230.27 | $1,737.80 | $3,890.45 |
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 $2,454.71 Median $2,511.89 Typical High $2,818.38 | Professional | 26 · Professional part | $2,454.71 | $2,511.89 | $2,818.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,258.93 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,230.27 | $1,258.93 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $616.60 | Professional | 53 · Discontinued | $501.19 | $501.19 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | TC · Technical part | $14,791.08 | $14,791.08 | $14,791.08 |
Where Missouri sits
The same service costs 30.9 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
$2,818
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.