How much rates vary
Facilitymedian $457 · 10th to 90th $162 to $1,072Professionalmedian $234 · 10th to 90th $151 to $1,479
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 $144.54 Median $162.18 Typical High $162.18 | Facility | None | $144.54 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $144.54 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $40.74 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $109.65 | $123.03 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $151.36 | $223.87 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $79.43 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $147.91 | $186.21 | $257.04 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $239.88 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $239.88 | $269.15 | $346.74 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $52.48 | $75.86 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $213.80 Typical High $281.84 | Professional | TC · Technical part | $190.55 | $213.80 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $165.96 | $251.19 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $61.66 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $190.55 | $346.74 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $478.63 Typical High $1,071.52 | Facility | None | $239.88 | $478.63 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $186.21 | $1,479.11 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $45.71 | $309.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $138.04 | $1,202.26 | $1,202.26 |
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 $186.21 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $186.21 | $204.17 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $51.29 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $158.49 | $323.59 |
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 $72.44 Median $81.28 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $40.74 | Professional | 53 · Discontinued | $29.51 | $32.36 | $40.74 |
Where Missouri sits
The same service costs 3.0 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· 33rd of 51
$234
AK $513FL $174
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.