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 $223.87 Median $338.84 Typical High $478.63 | Facility | None | $223.87 | $338.84 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $223.87 | $223.87 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $57.54 | $281.84 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $588.84 Typical High $2,137.96 | Facility | None | $354.81 | $588.84 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $457.09 Typical High $1,230.27 | Facility | None | $229.09 | $457.09 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $263.03 Typical High $1,288.25 | Professional | None (both parts) | $128.82 | $263.03 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $109.65 | $154.88 | $346.74 |
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 $223.87 Median $223.87 Typical High $251.19 | Professional | 26 · Professional part | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $112.20 Typical High $138.04 | Professional | 52 · Reduced service | $109.65 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $44.67 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
Where Missouri sits
The same service costs 5.4 times more in Alaska 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· 22nd of 51
$251
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.