How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $53.70 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $43.65 | $51.29 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $19.50 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $16.22 | Professional | TC · Technical part | $13.80 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $100.00 Typical High $117.49 | Facility | None | $56.23 | $100.00 | $117.49 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $154.88 Typical High $239.88 | Facility | None | $52.48 | $154.88 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $109.65 Typical High $426.58 | Professional | None (both parts) | $64.57 | $109.65 | $426.58 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $53.70 | $87.10 | $138.04 |
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 $16.98 Median $26.92 Typical High $33.88 | Professional | 52 · Reduced service | $16.98 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $10.72 Typical High $13.49 | Professional | 53 · Discontinued | $6.92 | $10.72 | $13.49 |
Where Missouri sits
The same service costs 6.9 times more in Alaska than in New York. 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· 31st of 51
$60.26
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.