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 $851.14 Median $3,162.28 Typical High $7,762.47 | Facility | None | $851.14 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $794.33 | Professional | None (both parts) | $208.93 | $239.88 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $89.13 | Professional | 26 · Professional part | $69.18 | $87.10 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $177.83 | Professional | TC · Technical part | $141.25 | $151.36 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,621.81 Typical High $3,890.45 | Facility | None | $151.36 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $144.54 | $229.09 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $109.65 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $199.53 | $275.42 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $194.98 | $208.93 | $302.00 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $85.11 | $117.49 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $181.97 | Professional | TC · Technical part | $117.49 | $125.89 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $1,659.59 | Facility | None | $120.23 | $181.97 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $501.19 | Professional | None (both parts) | $213.80 | $251.19 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $102.33 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $131.83 | $158.49 | $309.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $380.19 Typical High $2,951.21 | Facility | None | $54.95 | $380.19 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $446.68 Typical High $1,698.24 | Professional | None (both parts) | $251.19 | $446.68 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $173.78 Typical High $588.84 | Professional | 26 · Professional part | $93.33 | $173.78 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $1,122.02 | Professional | TC · Technical part | $158.49 | $295.12 | $1,122.02 |
United Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,137.96 | Facility | None | $123.03 | $602.56 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $218.78 | $323.59 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $117.49 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $138.04 | $204.17 | $363.08 |
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 $104.71 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $104.71 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $41.69 | $47.86 | $53.70 |
Where Missouri sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 29th of 51
$275
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.