How much rates vary
Facilitymedian $891 · 10th to 90th $417 to $2,239Professionalmedian $537 · 10th to 90th $251 to $3,236
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 $389.05 Median $501.19 Typical High $588.84 | Facility | None | $389.05 | $501.19 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $288.40 | $389.05 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $63.10 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $691.83 | Professional | TC · Technical part | $245.47 | $331.13 | $691.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $977.24 | Professional | None (both parts) | $281.84 | $380.19 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $151.36 Typical High $331.13 | Professional | 26 · Professional part | $31.62 | $151.36 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $724.44 | Professional | TC · Technical part | $177.83 | $269.15 | $724.44 |
BCBS Kansas City Setting Facility Modifier None Typical Low $446.68 Median $588.84 Typical High $1,122.02 | Facility | None | $446.68 | $588.84 | $1,122.02 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $467.74 Median $691.83 Typical High $870.96 | Professional | None (both parts) | $467.74 | $691.83 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,122.02 | Facility | None | $524.81 | $851.14 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $891.25 | Professional | None (both parts) | $199.53 | $229.09 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $38.02 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $758.58 | Professional | TC · Technical part | $165.96 | $194.98 | $758.58 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $2,454.71 | Facility | None | $501.19 | $954.99 | $2,454.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $380.19 | $3,235.94 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $75.86 | $660.69 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $302.00 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,691.53 | Facility | None | $2,511.89 | $2,511.89 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $1,122.02 | Professional | None (both parts) | $239.88 | $398.11 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $44.67 | $79.43 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $870.96 | Professional | TC · Technical part | $190.55 | $316.23 | $870.96 |
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 $190.55 Median $194.98 Typical High $263.03 | Professional | 52 · Reduced service | $190.55 | $194.98 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $79.43 Typical High $107.15 | Professional | 53 · Discontinued | $75.86 | $79.43 | $107.15 |
Where Missouri sits
The same service costs 11.5 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
$589
AK $1,778AL $155
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.