How much rates vary
Facilitymedian $240 · 10th to 90th $83 to $776Professionalmedian $204 · 10th to 90th $78 to $2,188
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 $50.12 Median $117.49 Typical High $134.90 | Facility | None | $50.12 | $117.49 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $114.82 | $134.90 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $77.62 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $47.86 | $56.23 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $204.17 Typical High $467.74 | Professional | None (both parts) | $77.62 | $204.17 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $154.88 Typical High $263.03 | Professional | 26 · Professional part | $33.88 | $154.88 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $44.67 | $100.00 | $138.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $1,096.48 | Facility | None | $436.52 | $575.44 | $1,096.48 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $141.25 | $190.55 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $131.83 Typical High $251.19 | Facility | None | $83.18 | $131.83 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $257.04 | Professional | None (both parts) | $61.66 | $77.62 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $125.89 | Professional | 26 · Professional part | $36.31 | $41.69 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $141.25 | Professional | TC · Technical part | $23.44 | $32.36 | $141.25 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $363.08 Typical High $933.25 | Facility | None | $151.36 | $363.08 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $138.04 | $2,187.76 | $2,187.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $83.18 | $794.33 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $52.48 | $1,698.24 | $1,698.24 |
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 $83.18 Median $141.25 Typical High $354.81 | Professional | None (both parts) | $83.18 | $141.25 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $85.11 Typical High $204.17 | Professional | 26 · Professional part | $47.86 | $85.11 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $53.70 Typical High $151.36 | Professional | TC · Technical part | $32.36 | $53.70 | $151.36 |
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 $58.88 Typical High $79.43 | Professional | 52 · Reduced service | $57.54 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $23.44 | $32.36 |
Where Missouri sits
The same service costs 7.6 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· 13th of 51
$204
AK $457AL $60.26
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.