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 $2,951.21 Median $4,466.84 Typical High $6,309.57 | Facility | None | $2,951.21 | $4,466.84 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $3,311.31 Typical High $3,981.07 | Professional | None (both parts) | $2,951.21 | $3,311.31 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $3,467.37 Typical High $6,165.95 | Professional | None (both parts) | $323.59 | $3,467.37 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $7,762.47 Typical High $28,183.83 | Facility | None | $4,786.30 | $7,762.47 | $28,183.83 |
Medica Setting Facility Modifier None Typical Low $3,019.95 Median $6,025.60 Typical High $16,218.10 | Facility | None | $3,019.95 | $6,025.60 | $16,218.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $3,467.37 Typical High $16,982.44 | Professional | None (both parts) | $1,737.80 | $3,467.37 | $16,982.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | TC · Technical part | $17,782.79 | $17,782.79 | $17,782.79 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,041.74 Typical High $4,570.88 | Professional | None (both parts) | $1,445.44 | $2,041.74 | $4,570.88 |
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 $1,445.44 Median $1,479.11 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,445.44 | $1,479.11 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | 53 · Discontinued | $588.84 | $588.84 | $724.44 |
Where Missouri sits
The same service costs 35.5 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· 21st of 51
$3,311
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.