How much rates vary
Facilitymedian $89 · 10th to 90th $55 to $295Professionalmedian $72 · 10th to 90th $32 to $437
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 $57.54 Median $57.54 Typical High $64.57 | Facility | None | $57.54 | $57.54 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $77.62 | Professional | None (both parts) | $46.77 | $57.54 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $28.18 | Professional | 26 · Professional part | $19.95 | $20.89 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $32.36 | $36.31 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $57.54 Typical High $141.25 | Professional | None (both parts) | $23.99 | $57.54 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $20.89 Typical High $83.18 | Professional | 26 · Professional part | $11.48 | $20.89 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $37.15 Typical High $147.91 | Professional | TC · Technical part | $20.42 | $37.15 | $147.91 |
BCBS Kansas City Setting Facility Modifier None Typical Low $81.28 Median $83.18 Typical High $158.49 | Facility | None | $81.28 | $83.18 | $158.49 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $102.33 | Professional | None (both parts) | $63.10 | $67.61 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $89.13 Typical High $213.80 | Facility | None | $38.90 | $89.13 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $102.33 | Professional | None (both parts) | $30.20 | $33.88 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.59 Typical High $40.74 | Professional | 26 · Professional part | $11.22 | $12.59 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $61.66 | Professional | TC · Technical part | $18.62 | $21.88 | $61.66 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $134.90 Typical High $295.12 | Facility | None | $69.18 | $134.90 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $61.66 | $436.52 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $21.88 | $158.49 | $158.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $38.90 | $281.84 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $74.13 Typical High $173.78 | Professional | None (both parts) | $40.74 | $74.13 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $27.54 Typical High $63.10 | Professional | 26 · Professional part | $14.79 | $27.54 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $109.65 | Professional | TC · Technical part | $25.70 | $46.77 | $109.65 |
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 $26.30 Median $28.84 Typical High $38.90 | Professional | 52 · Reduced service | $26.30 | $28.84 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.48 Typical High $15.49 | Professional | 53 · Discontinued | $10.47 | $11.48 | $15.49 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 22nd of 51
$74.13
AK $182TX $41.69
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.