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 $309.03 Median $467.74 Typical High $660.69 | Facility | None | $309.03 | $467.74 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $346.74 | Professional | None (both parts) | $309.03 | $309.03 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $204.17 | $371.54 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $2,951.21 | Facility | None | $501.19 | $812.83 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $630.96 Typical High $1,698.24 | Facility | None | $323.59 | $630.96 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $363.08 Typical High $1,819.70 | Professional | None (both parts) | $181.97 | $363.08 | $1,819.70 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $151.36 | $218.78 | $489.78 |
3 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 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $61.66 | $75.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $1,862.09 |
Where Missouri sits
The same service costs 12.0 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· 21st of 51
$347
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.