How much rates vary
Facilitymedian $138 · 10th to 90th $71 to $389Professionalmedian $107 · 10th to 90th $43 to $631
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 $21.38 Median $85.11 Typical High $102.33 | Facility | None | $21.38 | $85.11 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $69.18 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $15.85 | $19.50 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $52.48 | $66.07 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $25.12 | Professional | 26 · Professional part | $13.18 | $13.18 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $63.10 Typical High $177.83 | Professional | None (both parts) | $34.67 | $63.10 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $9.55 | $44.67 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $112.20 | Professional | TC · Technical part | $25.12 | $39.81 | $112.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $257.04 | Facility | None | $104.71 | $138.04 | $257.04 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $79.43 | $85.11 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $144.54 Typical High $234.42 | Facility | None | $63.10 | $144.54 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $44.67 Typical High $125.89 | Professional | None (both parts) | $38.90 | $44.67 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $33.88 | Professional | 26 · Professional part | $9.77 | $11.22 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.11 Typical High $91.20 | Professional | TC · Technical part | $29.51 | $33.11 | $91.20 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $389.05 | Facility | None | $89.13 | $138.04 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $85.11 | $630.96 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $22.39 | $169.82 | $169.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $67.61 | $501.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $95.50 Typical High $229.09 | Professional | None (both parts) | $53.70 | $95.50 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $22.91 Typical High $51.29 | Professional | 26 · Professional part | $12.02 | $22.91 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $72.44 Typical High $173.78 | Professional | TC · Technical part | $40.74 | $72.44 | $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 $33.88 Median $38.02 Typical High $51.29 | Professional | 52 · Reduced service | $33.88 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $15.14 | $20.42 |
Where Missouri sits
The same service costs 4.0 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· 15th of 51
$120
AK $234AL $58.88
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.