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 $630.96 Median $977.24 Typical High $1,380.38 | Facility | None | $630.96 | $977.24 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $630.96 | $645.65 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $512.86 Typical High $1,000.00 | Professional | None (both parts) | $338.84 | $512.86 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $6,025.60 | Facility | None | $1,023.29 | $1,659.59 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None (both parts) | $870.96 | $870.96 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $3,548.13 | Facility | None | $645.65 | $1,318.26 | $3,548.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $891.25 | Professional | None (both parts) | $316.23 | $446.68 | $891.25 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $1,000.00 | Professional | None (both parts) | $316.23 | $446.68 | $1,000.00 |
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 $630.96 Median $645.65 Typical High $794.33 | Professional | 26 · Professional part | $630.96 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $323.59 Typical High $426.58 | Professional | 52 · Reduced service | $316.23 | $323.59 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | 53 · Discontinued | $128.82 | $128.82 | $173.78 |
Where Missouri sits
The same service costs 26.9 times more in Alaska 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· 25th of 51
$631
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.