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 $724.44 Median $1,023.29 Typical High $2,570.40 | Facility | None | $724.44 | $1,023.29 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $645.65 | $724.44 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $794.33 Typical High $1,348.96 | Professional | None (both parts) | $691.83 | $794.33 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $6,025.60 | Facility | None | $1,023.29 | $1,659.59 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $1,288.25 Typical High $3,548.13 | Facility | None | $645.65 | $1,288.25 | $3,548.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $741.31 Typical High $3,715.35 | Professional | None (both parts) | $371.54 | $741.31 | $3,715.35 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | TC · Technical part | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $446.68 Typical High $1,000.00 | Professional | None (both parts) | $309.03 | $446.68 | $1,000.00 |
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 $630.96 Median $645.65 Typical High $724.44 | Professional | 26 · Professional part | $630.96 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $128.82 Typical High $158.49 | Professional | 53 · Discontinued | $125.89 | $128.82 | $158.49 |
Where Missouri sits
The same service costs 58.9 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· 26th of 51
$724
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.