How much rates vary
Facilitymedian $112 · 10th to 90th $60 to $347Professionalmedian $93 · 10th to 90th $51 to $562
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 $77.62 Median $102.33 Typical High $114.82 | Facility | None | $77.62 | $102.33 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $154.88 | Professional | None (both parts) | $67.61 | $81.28 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $51.29 | Professional | 26 · Professional part | $19.95 | $23.99 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $54.95 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $41.69 Typical High $123.03 | Professional | None (both parts) | $40.74 | $41.69 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $257.04 | Professional | None (both parts) | $64.57 | $81.28 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $85.11 | Professional | 26 · Professional part | $21.38 | $26.92 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $169.82 | Professional | TC · Technical part | $43.65 | $54.95 | $169.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $177.83 | Facility | None | $89.13 | $93.33 | $177.83 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $75.86 | $95.50 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $147.91 Typical High $263.03 | Facility | None | $52.48 | $147.91 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $125.89 | Professional | None (both parts) | $35.48 | $43.65 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.80 Typical High $42.66 | Professional | 26 · Professional part | $11.48 | $13.80 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $83.18 | Professional | TC · Technical part | $23.44 | $30.20 | $83.18 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $436.52 | Facility | None | $50.12 | $100.00 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $69.18 | $562.34 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $22.39 | $173.78 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $45.71 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $51.29 | $91.20 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $70.79 | Professional | 26 · Professional part | $16.60 | $29.51 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $63.10 Typical High $147.91 | Professional | TC · Technical part | $34.67 | $63.10 | $147.91 |
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 $34.67 Median $38.90 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.49 Typical High $19.50 | Professional | 53 · Discontinued | $14.13 | $15.49 | $19.50 |
Where Missouri sits
The same service costs 5.9 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· 23rd of 51
$97.72
AK $347AL $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.