How much rates vary
Facilitymedian $112 · 10th to 90th $65 to $372Professionalmedian $85 · 10th to 90th $40 to $513
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 $64.57 Median $87.10 Typical High $123.03 | Facility | None | $64.57 | $87.10 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $128.82 | Professional | None (both parts) | $56.23 | $70.79 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $24.55 | Professional | 26 · Professional part | $9.33 | $10.72 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $60.26 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $104.71 | Professional | None (both parts) | $34.67 | $34.67 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $54.95 Typical High $134.90 | Professional | None (both parts) | $28.84 | $54.95 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $19.95 Typical High $53.70 | Professional | 26 · Professional part | $5.01 | $19.95 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $109.65 | Professional | TC · Technical part | $21.88 | $33.11 | $109.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $151.36 | Facility | None | $61.66 | $81.28 | $151.36 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $74.13 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $74.13 | $81.28 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $151.36 Typical High $239.88 | Facility | None | $61.66 | $151.36 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $97.72 | Professional | None (both parts) | $32.36 | $39.81 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.03 Typical High $18.20 | Professional | 26 · Professional part | $5.62 | $6.03 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $83.18 | Professional | TC · Technical part | $28.18 | $33.88 | $83.18 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $117.49 Typical High $371.54 | Facility | None | $69.18 | $117.49 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $66.07 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $66.07 | $512.86 | $512.86 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $12.02 | $87.10 | $87.10 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $54.95 | $436.52 | $436.52 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $75.86 Typical High $204.17 | Professional | None (both parts) | $46.77 | $75.86 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.59 Typical High $30.20 | Professional | 26 · Professional part | $7.08 | $12.59 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $63.10 Typical High $173.78 | Professional | TC · Technical part | $38.90 | $63.10 | $173.78 |
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 $32.36 Median $33.88 Typical High $45.71 | Professional | 52 · Reduced service | $32.36 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.49 Typical High $18.20 | Professional | 53 · Discontinued | $13.18 | $13.49 | $18.20 |
Where Missouri sits
The same service costs 6.0 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
$93.33
AK $209AL $34.67
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.