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 $1,659.59 Median $2,511.89 Typical High $3,548.13 | Facility | None | $1,659.59 | $2,511.89 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,905.46 Typical High $2,238.72 | Professional | None (both parts) | $1,659.59 | $1,905.46 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,995.26 Typical High $3,548.13 | Professional | None (both parts) | $1,548.82 | $1,995.26 | $3,548.13 |
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 $1,737.80 Median $3,388.44 Typical High $9,332.54 | Facility | None | $1,737.80 | $3,388.44 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,949.84 Typical High $9,772.37 | Professional | None (both parts) | $977.24 | $1,949.84 | $9,772.37 |
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 |
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 $812.83 Median $1,174.90 Typical High $2,630.27 | Professional | None (both parts) | $812.83 | $1,174.90 | $2,630.27 |
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 $831.76 Median $831.76 Typical High $1,023.29 | Professional | 52 · Reduced service | $831.76 | $831.76 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $338.84 Typical High $416.87 | Professional | 53 · Discontinued | $331.13 | $338.84 | $416.87 |
Where Missouri sits
The same service costs 16.6 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
$1,905
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.