How much rates vary
Facilitymedian $295 · 10th to 90th $141 to $955Professionalmedian $174 · 10th to 90th $83 to $1,072
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 $138.04 Median $158.49 Typical High $354.81 | Facility | None | $138.04 | $158.49 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $107.15 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $32.36 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $93.33 | $112.20 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $128.82 Typical High $446.68 | Professional | None (both parts) | $70.79 | $128.82 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $41.69 Typical High $154.88 | Professional | 26 · Professional part | $16.60 | $41.69 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $288.40 | Professional | TC · Technical part | $54.95 | $81.28 | $288.40 |
BCBS Kansas City Setting Facility Modifier None Typical Low $158.49 Median $162.18 Typical High $309.03 | Facility | None | $158.49 | $162.18 | $309.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $131.83 | $173.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $295.12 Typical High $562.34 | Facility | None | $109.65 | $295.12 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $229.09 | Professional | None (both parts) | $60.26 | $83.18 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $57.54 | Professional | 26 · Professional part | $18.20 | $19.50 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $173.78 | Professional | TC · Technical part | $39.81 | $64.57 | $173.78 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $346.74 Typical High $1,071.52 | Facility | None | $144.54 | $346.74 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $120.23 | $1,071.52 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $37.15 | $234.42 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $85.11 | $851.14 | $851.14 |
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 $97.72 Median $169.82 Typical High $416.87 | Professional | None (both parts) | $97.72 | $169.82 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $22.39 | $39.81 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $131.83 Typical High $323.59 | Professional | TC · Technical part | $72.44 | $131.83 | $323.59 |
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 $67.61 Median $69.18 Typical High $95.50 | Professional | 52 · Reduced service | $67.61 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $38.02 | Professional | 53 · Discontinued | $26.92 | $28.18 | $38.02 |
Where Missouri sits
The same service costs 7.1 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· 25th of 51
$174
AK $417AL $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.