How much rates vary
Facilitymedian $182 · 10th to 90th $91 to $589Professionalmedian $115 · 10th to 90th $56 to $724
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 $42.66 Median $102.33 Typical High $114.82 | Facility | None | $42.66 | $102.33 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $97.72 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $28.18 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $77.62 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $74.13 Typical High $281.84 | Professional | None (both parts) | $44.67 | $74.13 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $25.70 Typical High $97.72 | Professional | 26 · Professional part | $13.49 | $25.70 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $46.77 Typical High $181.97 | Professional | TC · Technical part | $30.90 | $46.77 | $181.97 |
BCBS Kansas City Setting Facility Modifier None Typical Low $100.00 Median $102.33 Typical High $194.98 | Facility | None | $100.00 | $102.33 | $194.98 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $83.18 | $125.89 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $208.93 Typical High $316.23 | Facility | None | $64.57 | $208.93 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $61.66 Typical High $151.36 | Professional | None (both parts) | $38.02 | $61.66 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $48.98 | Professional | 26 · Professional part | $13.18 | $15.85 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $45.71 Typical High $112.20 | Professional | TC · Technical part | $25.12 | $45.71 | $112.20 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $194.98 Typical High $588.84 | Facility | None | $93.33 | $194.98 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $75.86 | $724.44 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $26.30 | $199.53 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $51.29 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $114.82 Typical High $309.03 | Professional | None (both parts) | $66.07 | $114.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $83.18 | Professional | 26 · Professional part | $19.50 | $33.88 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $79.43 Typical High $223.87 | Professional | TC · Technical part | $47.86 | $79.43 | $223.87 |
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 $48.98 Median $52.48 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $27.54 | Professional | 53 · Discontinued | $19.95 | $20.89 | $27.54 |
Where Missouri sits
The same service costs 4.6 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· 27th of 51
$117
AK $269AL $58.88
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.