How much rates vary
Facilitymedian $214 · 10th to 90th $107 to $724Professionalmedian $141 · 10th to 90th $74 to $1,349
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 $46.77 Median $134.90 Typical High $309.03 | Facility | None | $46.77 | $134.90 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $112.20 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $32.36 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $97.72 | $102.33 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $53.70 | $109.65 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $16.22 | $69.18 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $131.83 | Professional | TC · Technical part | $25.70 | $45.71 | $131.83 |
BCBS Kansas City Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $288.40 | Facility | None | $114.82 | $151.36 | $288.40 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $125.89 | $147.91 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $263.03 Typical High $346.74 | Facility | None | $64.57 | $263.03 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $79.43 Typical High $194.98 | Professional | None (both parts) | $52.48 | $79.43 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $57.54 | Professional | 26 · Professional part | $17.78 | $19.05 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $61.66 Typical High $144.54 | Professional | TC · Technical part | $35.48 | $61.66 | $144.54 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $724.44 | Facility | None | $107.15 | $194.98 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $114.82 | $1,348.96 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $37.15 | $269.15 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $79.43 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Facility | None | $165.96 | $165.96 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $398.11 | Professional | None (both parts) | $85.11 | $138.04 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $39.81 Typical High $97.72 | Professional | 26 · Professional part | $22.91 | $39.81 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $288.40 | Professional | TC · Technical part | $60.26 | $97.72 | $288.40 |
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 $64.57 Median $66.07 Typical High $91.20 | Professional | 52 · Reduced service | $64.57 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $36.31 | Professional | 53 · Discontinued | $25.70 | $26.92 | $36.31 |
Where Missouri sits
The same service costs 5.8 times more in Alaska than in Alabama. 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
$148
AK $331AL $57.54
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.