How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $933.25 Median $933.25 Typical High $1,096.48 | Facility | None | $933.25 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $933.25 Typical High $1,096.48 | Professional | None (both parts) | $812.83 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $117.49 | $125.89 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $812.83 Typical High $954.99 | Professional | TC · Technical part | $707.95 | $812.83 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $851.14 Median $954.99 Typical High $1,621.81 | Professional | None (both parts) | $851.14 | $954.99 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $218.78 | Professional | 26 · Professional part | $114.82 | $128.82 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $831.76 Typical High $1,380.38 | Professional | TC · Technical part | $724.44 | $831.76 | $1,380.38 |
BCBS Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $954.99 | $1,071.52 | $1,380.38 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $131.83 | $141.25 | $186.21 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $933.25 Typical High $1,202.26 | Professional | TC · Technical part | $831.76 | $933.25 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $2,454.71 | Facility | None | $1,412.54 | $2,238.72 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,148.15 Typical High $1,949.84 | Professional | None (both parts) | $812.83 | $1,148.15 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $151.36 Typical High $269.15 | Professional | 26 · Professional part | $114.82 | $151.36 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $977.24 Typical High $1,698.24 | Professional | TC · Technical part | $691.83 | $977.24 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $2,511.89 Typical High $3,981.07 | Facility | None | $891.25 | $2,511.89 | $3,981.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $954.99 Median $2,398.83 Typical High $5,888.44 | Professional | None (both parts) | $954.99 | $2,398.83 | $5,888.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $309.03 Typical High $758.58 | Professional | 26 · Professional part | $125.89 | $309.03 | $758.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $2,089.30 Typical High $5,128.61 | Professional | TC · Technical part | $831.76 | $2,089.30 | $5,128.61 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,090.30 | Facility | None | $2,951.21 | $2,951.21 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,148.15 Typical High $2,344.23 | Professional | None (both parts) | $891.25 | $1,148.15 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $309.03 | Professional | 26 · Professional part | $114.82 | $147.91 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,000.00 Typical High $2,041.74 | Professional | TC · Technical part | $776.25 | $1,000.00 | $2,041.74 |
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 $407.38 Median $467.74 Typical High $549.54 | Professional | 52 · Reduced service | $407.38 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $186.21 Typical High $218.78 | Professional | 53 · Discontinued | $162.18 | $186.21 | $218.78 |
Where Missouri sits
The same service costs 3.2 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· 28th of 51
$1,072
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.