How much rates vary
Facilitymedian $224 · 10th to 90th $117 to $832Professionalmedian $135 · 10th to 90th $100 to $832
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 $104.71 Median $117.49 Typical High $269.15 | Facility | None | $104.71 | $117.49 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $104.71 | $117.49 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $36.31 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $81.28 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $144.54 | $204.17 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $107.15 | $134.90 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $67.61 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $114.82 | $147.91 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $158.49 | $177.83 | $229.09 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $47.86 | $61.66 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $91.20 | $154.88 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $51.29 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $46.77 | $107.15 | $186.21 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $831.76 | Facility | None | $147.91 | $229.09 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $100.00 | $831.76 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $38.02 | $263.03 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $58.88 | $602.56 | $602.56 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $724.44 | Facility | None | $676.08 | $676.08 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $95.50 | $112.20 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $43.65 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $67.61 | $141.25 |
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 $52.48 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $23.44 | $25.70 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in New York. 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· 40th of 51
$135
AK $347NY $107
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.