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 $114.82 Median $114.82 Typical High $134.90 | Facility | None | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $104.71 | $114.82 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $102.33 | $147.91 | $181.97 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $91.20 | $102.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $2,951.21 | Facility | None | $363.08 | $363.08 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $104.71 | $114.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $245.47 Typical High $3,019.95 | Facility | None | $117.49 | $245.47 | $3,019.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $104.71 | $691.83 | $691.83 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,691.53 | $2,691.53 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $93.33 | $131.83 | $288.40 |
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 52 · Reduced service Typical Low $52.48 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $52.48 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $20.89 | $22.91 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $114.82 | $141.25 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 18th of 51
$141
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.