How much rates vary
Facilitymedian $148 · 10th to 90th $85 to $347Professionalmedian $115 · 10th to 90th $45 to $708
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 $89.13 Median $114.82 Typical High $144.54 | Facility | None | $89.13 | $114.82 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $134.90 | Facility | TC · Technical part | $67.61 | $93.33 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $79.43 | $95.50 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $20.42 | $24.55 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $74.13 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $141.25 | Professional | None (both parts) | $47.86 | $47.86 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $223.87 | Professional | None (both parts) | $39.81 | $56.23 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $11.22 | $38.02 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $26.92 | $75.86 | $138.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $213.80 | Facility | None | $85.11 | $112.20 | $213.80 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $100.00 | $114.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $181.97 Typical High $295.12 | Facility | None | $75.86 | $181.97 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $138.04 | Professional | None (both parts) | $46.77 | $53.70 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $39.81 | Professional | 26 · Professional part | $12.30 | $13.18 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $41.69 Typical High $102.33 | Professional | TC · Technical part | $33.88 | $41.69 | $102.33 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $512.86 | Facility | None | $95.50 | $154.88 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $91.20 | $707.95 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $26.92 | $162.18 | $162.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $64.57 | $549.54 | $549.54 |
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 $64.57 Median $104.71 Typical High $281.84 | Professional | None (both parts) | $64.57 | $104.71 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $15.49 | $27.54 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $77.62 Typical High $213.80 | Professional | TC · Technical part | $47.86 | $77.62 | $213.80 |
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 $44.67 Median $46.77 Typical High $63.10 | Professional | 52 · Reduced service | $44.67 | $46.77 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $25.12 | Professional | 53 · Discontinued | $17.78 | $18.62 | $25.12 |
Where Missouri sits
The same service costs 5.5 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· 21st of 51
$126
AK $269AL $48.98
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.