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 $331.13 Median $501.19 Typical High $724.44 | Facility | None | $331.13 | $501.19 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $331.13 | $380.19 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.46 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $6.46 | $269.15 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $3,162.28 | Facility | None | $537.03 | $870.96 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $446.68 | $446.68 | $562.34 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $691.83 Typical High $1,862.09 | Facility | None | $338.84 | $691.83 | $1,862.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $165.96 | $234.42 | $467.74 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $165.96 | $234.42 | $524.81 |
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 26 · Professional part Typical Low $331.13 Median $338.84 Typical High $416.87 | Professional | 26 · Professional part | $331.13 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $169.82 Typical High $223.87 | Professional | 52 · Reduced service | $165.96 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $89.13 | Professional | 53 · Discontinued | $66.07 | $67.61 | $89.13 |
Where Missouri sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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· 31st of 51
$302
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.