How much rates vary
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 $75.86 Median $190.55 Typical High $213.80 | Facility | None | $75.86 | $190.55 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $218.78 | Professional | None (both parts) | $169.82 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $89.13 | $91.20 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $100.00 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $120.23 | $234.42 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $177.83 Typical High $223.87 | Professional | 26 · Professional part | $46.77 | $177.83 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $218.78 | Professional | TC · Technical part | $57.54 | $95.50 | $218.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $707.95 | Facility | None | $288.40 | $380.19 | $707.95 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $213.80 | $331.13 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $501.19 | Facility | None | $154.88 | $263.03 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $354.81 | Professional | None (both parts) | $102.33 | $123.03 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $158.49 | Professional | 26 · Professional part | $51.29 | $54.95 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $208.93 | Professional | TC · Technical part | $51.29 | $64.57 | $208.93 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $489.78 Typical High $2,454.71 | Facility | None | $239.88 | $489.78 | $2,454.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $138.04 | $1,412.54 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $70.79 | $691.83 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $69.18 | $912.01 | $912.01 |
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 $125.89 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $125.89 | $223.87 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $245.47 | Professional | 26 · Professional part | $64.57 | $112.20 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $63.10 | $109.65 | $263.03 |
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 $93.33 Median $95.50 Typical High $128.82 | Professional | 52 · Reduced service | $93.33 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $51.29 | Professional | 53 · Discontinued | $37.15 | $38.02 | $51.29 |
Where Missouri sits
The same service costs 6.9 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· 24th of 51
$234
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.