How much rates vary
Facilitymedian $200 · 10th to 90th $100 to $661Professionalmedian $138 · 10th to 90th $46 to $977
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 $114.82 Median $144.54 Typical High $173.78 | Facility | None | $114.82 | $144.54 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $91.20 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $77.62 | Professional | 26 · Professional part | $25.70 | $29.51 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $97.72 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $60.26 | $123.03 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $81.28 Typical High $239.88 | Professional | None (both parts) | $41.69 | $81.28 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $16.60 | $64.57 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $125.89 | Professional | TC · Technical part | $15.85 | $25.12 | $125.89 |
BCBS Kansas City Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $251.19 | Facility | None | $102.33 | $131.83 | $251.19 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $120.23 | $138.04 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $234.42 Typical High $275.42 | Facility | None | $57.54 | $234.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $72.44 Typical High $177.83 | Professional | None (both parts) | $52.48 | $72.44 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.05 Typical High $61.66 | Professional | 26 · Professional part | $16.98 | $19.05 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $54.95 Typical High $120.23 | Professional | TC · Technical part | $32.36 | $54.95 | $120.23 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $263.03 Typical High $660.69 | Facility | None | $123.03 | $263.03 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $93.33 | $977.24 | $977.24 |
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 $60.26 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $60.26 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $562.34 | Facility | None | $537.03 | $537.03 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $346.74 | Professional | None (both parts) | $77.62 | $125.89 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $37.15 Typical High $89.13 | Professional | 26 · Professional part | $20.89 | $37.15 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $87.10 Typical High $257.04 | Professional | TC · Technical part | $52.48 | $87.10 | $257.04 |
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 $57.54 Median $63.10 Typical High $85.11 | Professional | 52 · Reduced service | $57.54 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $33.88 | Professional | 53 · Discontinued | $22.91 | $25.12 | $33.88 |
Where Missouri sits
The same service costs 5.2 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· 22nd of 51
$145
AK $309AL $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.