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 $537.03 Median $870.96 Typical High $2,187.76 | Facility | None | $537.03 | $870.96 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $537.03 Typical High $724.44 | Professional | None (both parts) | $489.78 | $537.03 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $501.19 Typical High $1,148.15 | Professional | None (both parts) | $257.04 | $501.19 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $5,128.61 | Facility | None | $870.96 | $1,412.54 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,096.48 Typical High $3,019.95 | Facility | None | $575.44 | $1,096.48 | $3,019.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $630.96 Typical High $3,162.28 | Professional | None (both parts) | $316.23 | $630.96 | $3,162.28 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $851.14 | Professional | None (both parts) | $269.15 | $380.19 | $851.14 |
4 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 $537.03 Median $549.54 Typical High $616.60 | Professional | 26 · Professional part | $537.03 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $275.42 Typical High $338.84 | Professional | 52 · Reduced service | $269.15 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $109.65 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $109.65 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | TC · Technical part | $3,235.94 | $3,235.94 | $3,235.94 |
Where Missouri sits
The same service costs 11.7 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· 24th of 51
$575
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.