How much rates vary
Facilitymedian $200 · 10th to 90th $115 to $589Professionalmedian $120 · 10th to 90th $59 to $398
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 $263.03 | Facility | None | $114.82 | $144.54 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $91.20 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $28.18 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $85.11 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $102.33 Typical High $281.84 | Professional | None (both parts) | $53.70 | $102.33 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $30.20 Typical High $69.18 | Professional | 26 · Professional part | $14.79 | $30.20 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $70.79 Typical High $213.80 | Professional | TC · Technical part | $38.90 | $70.79 | $213.80 |
BCBS Kansas City Setting Facility Modifier None Typical Low $128.82 Median $134.90 Typical High $257.04 | Facility | None | $128.82 | $134.90 | $257.04 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $109.65 | $128.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $208.93 Typical High $398.11 | Facility | None | $79.43 | $208.93 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $64.57 Typical High $147.91 | Professional | None (both parts) | $46.77 | $64.57 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $39.81 | Professional | 26 · Professional part | $13.49 | $16.60 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $117.49 | Professional | TC · Technical part | $33.11 | $47.86 | $117.49 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $199.53 Typical High $588.84 | Facility | None | $114.82 | $199.53 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $81.28 Median $281.84 Typical High $870.96 | Professional | None (both parts) | $81.28 | $281.84 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $74.13 Typical High $213.80 | Professional | 26 · Professional part | $21.88 | $74.13 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $208.93 Typical High $660.69 | Professional | TC · Technical part | $60.26 | $208.93 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $123.03 Typical High $302.00 | Professional | None (both parts) | $74.13 | $123.03 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $34.67 Typical High $74.13 | Professional | 26 · Professional part | $19.50 | $34.67 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $229.09 | Professional | TC · Technical part | $53.70 | $89.13 | $229.09 |
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 $51.29 Median $56.23 Typical High $77.62 | Professional | 52 · Reduced service | $51.29 | $56.23 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.91 Typical High $30.90 | Professional | 53 · Discontinued | $20.42 | $22.91 | $30.90 |
Where Missouri sits
The same service costs 5.5 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· 24th of 51
$129
AK $380AL $69.18
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.