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 $676.08 Median $1,023.29 Typical High $1,479.11 | Facility | None | $676.08 | $1,023.29 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $776.25 Typical High $912.01 | Professional | None (both parts) | $676.08 | $776.25 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $812.83 Typical High $1,445.44 | Professional | None (both parts) | $239.88 | $812.83 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $6,456.54 | Facility | None | $1,096.48 | $1,778.28 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $3,801.89 | Facility | None | $707.95 | $1,380.38 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $794.33 Typical High $3,981.07 | Professional | None (both parts) | $398.11 | $794.33 | $3,981.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | TC · Technical part | $4,073.80 | $4,073.80 | $4,073.80 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $1,071.52 | Professional | None (both parts) | $331.13 | $478.63 | $1,071.52 |
2 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 $338.84 Median $338.84 Typical High $416.87 | Professional | 52 · Reduced service | $338.84 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $169.82 | Professional | 53 · Discontinued | $134.90 | $138.04 | $169.82 |
Where Missouri sits
The same service costs 12.0 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
$776
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.