How much rates vary
Facilitymedian $251 · 10th to 90th $138 to $794Professionalmedian $170 · 10th to 90th $85 to $1,148
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 $51.29 Median $194.98 Typical High $346.74 | Facility | None | $51.29 | $194.98 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $134.90 | $151.36 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $40.74 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $114.82 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $74.13 | $151.36 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $22.39 | $74.13 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $229.09 | Professional | TC · Technical part | $54.95 | $85.11 | $229.09 |
BCBS Kansas City Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $346.74 | Facility | None | $138.04 | $181.97 | $346.74 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $165.96 | $190.55 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $288.40 Typical High $562.34 | Facility | None | $102.33 | $288.40 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $234.42 | Professional | None (both parts) | $77.62 | $85.11 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $75.86 | Professional | 26 · Professional part | $19.95 | $22.91 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $158.49 | Professional | TC · Technical part | $52.48 | $64.57 | $158.49 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $794.33 | Facility | None | $165.96 | $316.23 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $109.65 | $1,148.15 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $28.18 | $323.59 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $81.28 | $870.96 | $870.96 |
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 $95.50 Median $162.18 Typical High $398.11 | Professional | None (both parts) | $95.50 | $162.18 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $24.55 | $45.71 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $302.00 | Professional | TC · Technical part | $72.44 | $120.23 | $302.00 |
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 $69.18 Median $75.86 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $40.74 | Professional | 53 · Discontinued | $27.54 | $30.20 | $40.74 |
Where Missouri sits
The same service costs 4.9 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· 26th of 51
$174
AK $468AL $95.50
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.