How much rates vary
Facilitymedian $871 · 10th to 90th $126 to $3,890Professionalmedian $191 · 10th to 90th $145 to $525
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 $218.78 Median $3,162.28 Typical High $7,762.47 | Facility | None | $218.78 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $169.82 | $190.55 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $45.71 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $120.23 | $144.54 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $144.54 | $229.09 | $229.09 |
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 $134.90 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $134.90 | $158.49 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $70.79 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $93.33 | $177.83 | $281.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $151.36 | $162.18 | $234.42 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $44.67 | $61.66 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $120.23 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $2,691.53 Typical High $2,691.53 | Facility | None | $50.12 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $151.36 | $190.55 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $52.48 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $151.36 | $281.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $288.40 Typical High $1,778.28 | Facility | None | $54.95 | $288.40 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $354.81 Typical High $1,548.82 | Professional | None (both parts) | $165.96 | $354.81 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $109.65 Typical High $912.01 | Professional | 26 · Professional part | $48.98 | $109.65 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $257.04 Typical High $1,122.02 | Professional | TC · Technical part | $112.20 | $257.04 | $1,122.02 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,137.96 | Facility | None | $123.03 | $549.54 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $162.18 | $234.42 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $69.18 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $109.65 | $173.78 | $338.84 |
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 $89.13 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $35.48 | $38.02 | $44.67 |
Where Missouri sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 27th of 51
$214
AK $759TX $135
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.