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 $31.62 Median $31.62 Typical High $61.66 | Facility | None | $31.62 | $31.62 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $31.62 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $15.85 | $24.55 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $24.55 Typical High $30.90 | Professional | TC · Technical part | $15.85 | $24.55 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $37.15 | $51.29 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $18.20 | $22.39 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $28.84 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $45.71 Typical High $74.13 | Facility | None | $43.65 | $45.71 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $60.26 | $64.57 | $85.11 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $134.90 Typical High $239.88 | Facility | None | $39.81 | $134.90 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $54.95 | $288.40 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $144.54 Typical High $194.98 | Professional | 26 · Professional part | $26.92 | $144.54 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $26.92 | $144.54 | $194.98 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Facility | None | $91.20 | $91.20 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $72.44 Typical High $134.90 | Professional | None (both parts) | $42.66 | $72.44 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $20.89 | $36.31 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $21.88 | $36.31 | $67.61 |
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 $15.85 Median $24.55 Typical High $30.90 | Professional | 52 · Reduced service | $15.85 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $9.77 Typical High $12.30 | Professional | 53 · Discontinued | $6.31 | $9.77 | $12.30 |
Where Missouri sits
The same service costs 4.2 times more in Nebraska 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· 26th of 51
$52.48
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.