How much rates vary
Facilitymedian $59 · 10th to 90th $29 to $162Professionalmedian $39 · 10th to 90th $16 to $263
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 $26.30 Median $33.88 Typical High $66.07 | Facility | None | $26.30 | $33.88 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $52.48 | Professional | None (both parts) | $22.91 | $28.18 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.46 Typical High $13.80 | Professional | 26 · Professional part | $5.50 | $6.46 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $20.89 | $22.39 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None (both parts) | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $30.90 Typical High $131.83 | Professional | None (both parts) | $12.88 | $30.90 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $15.14 Typical High $83.18 | Professional | 26 · Professional part | $6.31 | $15.14 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $12.88 | $26.92 | $44.67 |
BCBS Kansas City Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $120.23 | Facility | None | $48.98 | $63.10 | $120.23 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $31.62 | $33.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $100.00 | Facility | None | $33.88 | $57.54 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $15.85 Typical High $57.54 | Professional | None (both parts) | $14.79 | $15.85 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.55 Typical High $10.72 | Professional | 26 · Professional part | $3.24 | $3.55 | $10.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $12.59 Typical High $48.98 | Professional | TC · Technical part | $11.48 | $12.59 | $48.98 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $70.79 Typical High $162.18 | Facility | None | $43.65 | $70.79 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $30.90 | $263.03 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $7.08 | $144.54 | $144.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $23.44 | $223.87 | $223.87 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $31.62 Typical High $83.18 | Professional | None (both parts) | $19.05 | $31.62 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.98 Median $7.24 Typical High $16.98 | Professional | 26 · Professional part | $3.98 | $7.24 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $23.99 Typical High $64.57 | Professional | TC · Technical part | $14.45 | $23.99 | $64.57 |
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 $13.18 Median $13.80 Typical High $18.62 | Professional | 52 · Reduced service | $13.18 | $13.80 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.50 Typical High $7.41 | Professional | 53 · Discontinued | $5.37 | $5.50 | $7.41 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 24th of 51
$40.74
AK $123AR $28.18
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.