How much rates vary
Facilitymedian $178 · 10th to 90th $93 to $537Professionalmedian $158 · 10th to 90th $63 to $891
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 $70.79 Median $97.72 Typical High $138.04 | Facility | None | $70.79 | $97.72 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $69.18 | $97.72 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $36.31 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $51.29 | $63.10 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $39.81 | $39.81 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $158.49 Typical High $501.19 | Professional | None (both parts) | $60.26 | $158.49 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $67.61 Typical High $199.53 | Professional | 26 · Professional part | $22.39 | $67.61 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $93.33 Typical High $302.00 | Professional | TC · Technical part | $39.81 | $93.33 | $302.00 |
BCBS Kansas City Setting Facility Modifier None Typical Low $177.83 Median $234.42 Typical High $446.68 | Facility | None | $177.83 | $234.42 | $446.68 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $112.20 | $169.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $162.18 Typical High $398.11 | Facility | None | $89.13 | $162.18 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $218.78 | Professional | None (both parts) | $53.70 | $64.57 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $83.18 | Professional | 26 · Professional part | $20.89 | $23.44 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $138.04 | Professional | TC · Technical part | $37.15 | $40.74 | $138.04 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $245.47 Typical High $954.99 | Facility | None | $120.23 | $245.47 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $125.89 | $891.25 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $45.71 | $338.84 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $79.43 | $549.54 | $549.54 |
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 $69.18 Median $128.82 Typical High $295.12 | Professional | None (both parts) | $69.18 | $128.82 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $46.77 Typical High $109.65 | Professional | 26 · Professional part | $25.70 | $46.77 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $43.65 | $83.18 | $186.21 |
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 $46.77 Median $48.98 Typical High $66.07 | Professional | 52 · Reduced service | $46.77 | $48.98 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $19.95 | $26.92 |
Where Missouri sits
The same service costs 4.5 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· 18th of 51
$158
AK $316AL $70.79
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.