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 $2,238.72 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,238.72 | $3,388.44 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,290.87 Typical High $2,570.40 | Professional | None (both parts) | $2,238.72 | $2,290.87 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $2,691.53 Typical High $4,786.30 | Professional | None (both parts) | $208.93 | $2,691.53 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $5,888.44 Typical High $21,379.62 | Facility | None | $3,630.78 | $5,888.44 | $21,379.62 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $4,570.88 Typical High $12,589.25 | Facility | None | $2,398.83 | $4,570.88 | $12,589.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,630.27 Typical High $13,182.57 | Professional | None (both parts) | $1,318.26 | $2,630.27 | $13,182.57 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $3,548.13 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $3,548.13 |
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 $1,122.02 Median $1,148.15 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,122.02 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $457.09 Typical High $562.34 | Professional | 53 · Discontinued | $446.68 | $457.09 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | TC · Technical part | $13,489.63 | $13,489.63 | $13,489.63 |
Where Missouri sits
The same service costs 31.6 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· 22nd of 51
$2,570
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.