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 $2,511.89 Median $4,466.84 Typical High $8,912.51 | Facility | None | $2,511.89 | $4,466.84 | $8,912.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,238.72 Typical High $2,238.72 | Professional | None (both parts) | $1,995.26 | $2,238.72 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $2,754.23 Typical High $4,677.35 | Professional | None (both parts) | $33.11 | $2,754.23 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $5,754.40 Typical High $20,892.96 | Facility | None | $3,548.13 | $5,754.40 | $20,892.96 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $4,466.84 Typical High $12,302.69 | Facility | None | $2,238.72 | $4,466.84 | $12,302.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,570.40 Typical High $12,882.50 | Professional | None (both parts) | $1,288.25 | $2,570.40 | $12,882.50 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | TC · Technical part | $13,182.57 | $13,182.57 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $3,467.37 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $3,467.37 |
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 $2,187.76 Median $2,238.72 Typical High $2,511.89 | Professional | 26 · Professional part | $2,187.76 | $2,238.72 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,096.48 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $446.68 Typical High $549.54 | Professional | 53 · Discontinued | $436.52 | $446.68 | $549.54 |
Where Missouri sits
The same service costs 204.2 times more in Texas 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· 17th 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.