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 $1,819.70 Median $2,951.21 Typical High $7,244.36 | Facility | None | $1,819.70 | $2,951.21 | $7,244.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $1,659.59 Typical High $3,801.89 | Professional | None (both parts) | $21.38 | $1,659.59 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $4,786.30 Typical High $17,378.01 | Facility | None | $2,951.21 | $4,786.30 | $17,378.01 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $3,715.35 Typical High $10,000.00 | Facility | None | $1,862.09 | $3,715.35 | $10,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $2,137.96 Typical High $10,471.29 | Professional | None (both parts) | $1,071.52 | $2,137.96 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $2,884.03 | Professional | None (both parts) | $891.25 | $1,288.25 | $2,884.03 |
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 $1,819.70 Median $1,819.70 Typical High $2,041.74 | Professional | 26 · Professional part | $1,819.70 | $1,819.70 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $1,122.02 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | 53 · Discontinued | $363.08 | $363.08 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | TC · Technical part | $10,964.78 | $10,964.78 | $10,964.78 |
Where Missouri sits
The same service costs 229.1 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
$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.