How much rates vary
Facilitymedian $933 · 10th to 90th $138 to $4,677Professionalmedian $355 · 10th to 90th $174 to $891
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 $275.42 Median $316.23 Typical High $1,023.29 | Professional | None (both parts) | $275.42 | $316.23 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $100.00 | Professional | 26 · Professional part | $77.62 | $97.72 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $251.19 | Professional | TC · Technical part | $199.53 | $218.78 | $251.19 |
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 $173.78 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $173.78 | $316.23 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $125.89 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $316.23 | $426.58 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $263.03 | $281.84 | $407.38 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $93.33 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $93.33 | $131.83 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $194.98 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $204.17 Typical High $1,659.59 | Facility | None | $134.90 | $204.17 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $281.84 | $338.84 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $112.20 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $467.74 | Professional | TC · Technical part | $199.53 | $239.88 | $467.74 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $660.69 Typical High $12,022.64 | Facility | None | $138.04 | $660.69 | $12,022.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $2,238.72 | Professional | None (both parts) | $338.84 | $616.60 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $194.98 Typical High $691.83 | Professional | 26 · Professional part | $102.33 | $194.98 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $446.68 Typical High $1,584.89 | Professional | TC · Technical part | $239.88 | $446.68 | $1,584.89 |
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 $295.12 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $295.12 | $446.68 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $131.83 Typical High $223.87 | Professional | 26 · Professional part | $89.13 | $131.83 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $316.23 Typical High $524.81 | Professional | TC · Technical part | $208.93 | $316.23 | $524.81 |
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 $138.04 Median $158.49 Typical High $173.78 | Professional | 52 · Reduced service | $138.04 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $63.10 Typical High $70.79 | Professional | 53 · Discontinued | $54.95 | $63.10 | $70.79 |
Where Missouri sits
The same service costs 4.8 times more in Alaska 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· 25th of 51
$389
AK $1,000UT $209
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.