How much rates vary
Facilitymedian $58 · 10th to 90th $30 to $417Professionalmedian $37 · 10th to 90th $21 to $138
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 $29.51 Median $31.62 Typical High $72.44 | Facility | None | $29.51 | $31.62 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $29.51 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $10.23 | $12.02 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $35.48 | Professional | TC · Technical part | $19.05 | $21.38 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $27.54 | $42.66 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $36.31 Typical High $51.29 | Professional | None (both parts) | $21.38 | $36.31 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $20.42 | Professional | 26 · Professional part | $13.18 | $15.49 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $37.15 | Professional | TC · Technical part | $17.38 | $21.88 | $37.15 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $47.86 | Professional | None (both parts) | $33.11 | $37.15 | $47.86 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $11.22 | $12.30 | $17.78 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $21.88 | $24.55 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $28.18 | $39.81 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $26.92 | Professional | 26 · Professional part | $10.23 | $14.79 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $18.62 | $25.12 | $43.65 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $61.66 Typical High $416.87 | Facility | None | $33.11 | $61.66 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $87.10 Typical High $194.98 | Professional | None (both parts) | $35.48 | $87.10 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $13.80 | $34.67 | $69.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $56.23 Typical High $128.82 | Professional | TC · Technical part | $20.89 | $56.23 | $128.82 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Facility | None | $407.38 | $407.38 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $32.36 | $42.66 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $28.18 | Professional | 26 · Professional part | $13.18 | $16.60 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $19.05 | $26.30 | $51.29 |
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 $14.79 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $14.79 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.31 Typical High $7.41 | Professional | 53 · Discontinued | $5.89 | $6.31 | $7.41 |
Where Missouri sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 38th of 51
$37.15
AK $83.18FL $30.90
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.