How much rates vary
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 $229.09 Median $295.12 Typical High $398.11 | Facility | None | $229.09 | $295.12 | $398.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $331.13 | Facility | TC · Technical part | $165.96 | $229.09 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $199.53 | $263.03 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $77.62 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $144.54 | $181.97 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $251.19 | $251.19 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $177.83 | $275.42 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $134.90 Typical High $323.59 | Professional | 26 · Professional part | $75.86 | $134.90 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $141.25 Typical High $275.42 | Professional | TC · Technical part | $42.66 | $141.25 | $275.42 |
BCBS Kansas City Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $489.78 | Facility | None | $199.53 | $263.03 | $489.78 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $269.15 | $309.03 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $446.68 Typical High $758.58 | Facility | None | $138.04 | $446.68 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $416.87 | Professional | None (both parts) | $128.82 | $138.04 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $40.74 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $100.00 | $263.03 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $338.84 Typical High $1,288.25 | Facility | None | $147.91 | $338.84 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $245.47 | $1,819.70 | $1,819.70 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $85.11 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $158.49 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,122.02 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $724.44 | Professional | None (both parts) | $169.82 | $275.42 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $87.10 Typical High $204.17 | Professional | 26 · Professional part | $47.86 | $87.10 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $190.55 Typical High $524.81 | Professional | TC · Technical part | $117.49 | $190.55 | $524.81 |
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 $114.82 Median $120.23 Typical High $162.18 | Professional | 52 · Reduced service | $114.82 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $66.07 | Professional | 53 · Discontinued | $45.71 | $47.86 | $66.07 |
Where Missouri sits
The same service costs 4.2 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· 19th of 51
$331
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.