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 $1,148.15 Median $1,737.80 Typical High $2,454.71 | Facility | None | $1,148.15 | $1,737.80 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,445.44 Typical High $2,398.83 | Professional | None (both parts) | $426.58 | $1,445.44 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $10,964.78 | Facility | None | $1,819.70 | $3,019.95 | $10,964.78 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $6,309.57 | Facility | None | $1,174.90 | $2,344.23 | $6,309.57 |
Medica Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,348.96 Typical High $6,606.93 | Professional | None (both parts) | $660.69 | $1,348.96 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,778.28 | Professional | None (both parts) | $562.34 | $794.33 | $1,778.28 |
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 $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | 26 · Professional part | $1,148.15 | $1,148.15 | $1,288.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $575.44 Typical High $707.95 | Professional | 52 · Reduced service | $562.34 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $281.84 | Professional | 53 · Discontinued | $229.09 | $229.09 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | TC · Technical part | $6,760.83 | $6,760.83 | $6,760.83 |
Where Missouri sits
The same service costs 102.3 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· 23rd of 51
$1,288
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.