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 $1,621.81 Median $2,454.71 Typical High $3,467.37 | Facility | None | $1,621.81 | $2,454.71 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,862.09 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $2,041.74 Typical High $3,388.44 | Professional | None (both parts) | $501.19 | $2,041.74 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $4,265.80 Typical High $15,488.17 | Facility | None | $2,630.27 | $4,265.80 | $15,488.17 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,311.31 Typical High $9,120.11 | Facility | None | $1,659.59 | $3,311.31 | $9,120.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,905.46 Typical High $9,549.93 | Professional | None (both parts) | $954.99 | $1,905.46 | $9,549.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | TC · Technical part | $9,772.37 | $9,772.37 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,148.15 Typical High $2,570.40 | Professional | None (both parts) | $794.33 | $1,148.15 | $2,570.40 |
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 $812.83 Median $812.83 Typical High $1,000.00 | Professional | 52 · Reduced service | $812.83 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $407.38 | Professional | 53 · Discontinued | $323.59 | $323.59 | $407.38 |
Where Missouri sits
The same service costs 12.0 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· 22nd of 51
$1,862
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.