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 $43.65 Median $43.65 Typical High $85.11 | Facility | None | $43.65 | $43.65 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $43.65 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $41.69 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.18 Typical High $34.67 | Professional | TC · Technical part | $17.38 | $28.18 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $87.10 | Professional | None (both parts) | $35.48 | $41.69 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $52.48 | Professional | 26 · Professional part | $14.79 | $16.22 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $22.39 | $25.12 | $36.31 |
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 $50.12 Median $190.55 Typical High $338.84 | Facility | None | $50.12 | $190.55 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $114.82 Typical High $549.54 | Professional | None (both parts) | $69.18 | $114.82 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $331.13 | Professional | 26 · Professional part | $41.69 | $69.18 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $46.77 Typical High $218.78 | Professional | TC · Technical part | $28.18 | $46.77 | $218.78 |
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 $57.54 Median $91.20 Typical High $186.21 | Professional | None (both parts) | $57.54 | $91.20 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $112.20 | Professional | 26 · Professional part | $34.67 | $53.70 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $34.67 Typical High $75.86 | Professional | TC · Technical part | $22.91 | $34.67 | $75.86 |
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 $21.88 Median $34.67 Typical High $42.66 | Professional | 52 · Reduced service | $21.88 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $13.80 Typical High $16.98 | Professional | 53 · Discontinued | $8.71 | $13.80 | $16.98 |
Where Missouri sits
The same service costs 14.8 times more in Texas than in Arkansas. 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· 41st of 51
$61.66
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.