How much rates vary
Facilitymedian $117 · 10th to 90th $54 to $288Professionalmedian $62 · 10th to 90th $48 to $95
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 $48.98 Median $53.70 Typical High $107.15 | Facility | None | $48.98 | $53.70 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $48.98 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $28.18 | $31.62 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $25.70 | Professional | TC · Technical part | $20.42 | $22.91 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $83.18 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $61.66 Typical High $75.86 | Professional | None (both parts) | $33.88 | $61.66 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $50.12 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.91 Typical High $26.30 | Professional | TC · Technical part | $21.88 | $22.91 | $26.30 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $74.13 | Professional | None (both parts) | $63.10 | $67.61 | $74.13 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $36.31 | $38.90 | $44.67 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $31.62 | Professional | TC · Technical part | $26.92 | $28.84 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $61.66 Typical High $85.11 | Professional | None (both parts) | $54.95 | $61.66 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $35.48 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $34.67 | Professional | TC · Technical part | $21.88 | $25.70 | $34.67 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $134.90 Typical High $288.40 | Facility | None | $56.23 | $134.90 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $398.11 | Professional | None (both parts) | $47.86 | $54.95 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $346.74 | Professional | 26 · Professional part | $28.84 | $33.11 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $165.96 | Professional | TC · Technical part | $18.62 | $21.88 | $165.96 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $194.98 | Facility | None | $186.21 | $186.21 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $52.48 Typical High $81.28 | Professional | None (both parts) | $47.86 | $52.48 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $31.62 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $20.89 | $33.88 |
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 $24.55 Median $26.92 Typical High $30.90 | Professional | 52 · Reduced service | $24.55 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $12.30 | Professional | 53 · Discontinued | $9.77 | $10.72 | $12.30 |
Where Missouri sits
The same service costs 3.7 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· 27th of 51
$61.66
AK $170FL $45.71
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.