How much rates vary
Facilitymedian $1,622 · 10th to 90th $380 to $5,623Professionalmedian $363 · 10th to 90th $148 to $1,175
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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $398.11 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $85.11 | $100.00 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $316.23 | $338.84 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,819.70 Typical High $3,981.07 | Facility | None | $724.44 | $1,819.70 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $147.91 | $302.00 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $93.33 | $109.65 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $165.96 | $302.00 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $354.81 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $354.81 | $416.87 | $616.60 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $104.71 | $154.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $251.19 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $295.12 | $446.68 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $93.33 | $109.65 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $338.84 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $338.84 | $537.03 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $912.01 Typical High $12,022.64 | Facility | None | $295.12 | $912.01 | $12,022.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $323.59 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $645.65 Typical High $645.65 | Professional | 26 · Professional part | $107.15 | $645.65 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $218.78 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $245.47 Median $831.76 Typical High $3,548.13 | Facility | None | $245.47 | $831.76 | $3,548.13 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $316.23 | $457.09 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $218.78 | Professional | 26 · Professional part | $91.20 | $120.23 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $346.74 Typical High $758.58 | Professional | TC · Technical part | $213.80 | $346.74 | $758.58 |
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 $199.53 Median $223.87 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $102.33 | Professional | 53 · Discontinued | $79.43 | $89.13 | $102.33 |
Where Missouri sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 40th of 51
$363
AK $1,413KY $219
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.