How much rates vary
Facilitymedian $676 · 10th to 90th $55 to $5,012Professionalmedian $59 · 10th to 90th $45 to $112
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 $44.67 Median $58.88 Typical High $72.44 | Facility | None | $44.67 | $58.88 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $69.18 | Professional | None (both parts) | $37.15 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $26.92 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.20 Typical High $26.92 | Professional | TC · Technical part | $15.14 | $18.20 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $42.66 | $66.07 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $31.62 | $38.02 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $3,467.37 Typical High $7,079.46 | Facility | None | $204.17 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $61.66 Typical High $83.18 | Professional | None (both parts) | $50.12 | $61.66 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $41.69 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.50 Typical High $31.62 | Professional | TC · Technical part | $13.18 | $19.50 | $31.62 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $50.12 | $53.70 | $77.62 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $45.71 | Professional | 26 · Professional part | $29.51 | $33.11 | $45.71 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.88 Typical High $31.62 | Professional | TC · Technical part | $20.42 | $21.88 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $371.54 | Facility | None | $20.42 | $26.92 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $45.71 | $61.66 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $39.81 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $17.38 | $21.88 | $38.02 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $251.19 Typical High $1,288.25 | Facility | None | $54.95 | $251.19 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $87.10 Typical High $354.81 | Professional | None (both parts) | $44.67 | $87.10 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $53.70 Typical High $208.93 | Professional | 26 · Professional part | $27.54 | $53.70 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $33.11 Typical High $147.91 | Professional | TC · Technical part | $16.22 | $33.11 | $147.91 |
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 $42.66 Median $56.23 Typical High $91.20 | Professional | None (both parts) | $42.66 | $56.23 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $35.48 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $35.48 | Professional | TC · Technical part | $15.85 | $21.38 | $35.48 |
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 $18.62 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $18.62 | $22.39 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.91 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $8.91 | $9.12 |
Where Missouri sits
The same service costs 6.5 times more in Minnesota 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· 21st of 51
$67.61
MN $295KY $45.71
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.