How much rates vary
Facilitymedian $158 · 10th to 90th $74 to $617Professionalmedian $74 · 10th to 90th $62 to $129
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 $66.07 Median $74.13 Typical High $74.13 | Facility | None | $66.07 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $83.18 | Professional | None (both parts) | $66.07 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $38.90 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $35.48 Typical High $39.81 | Professional | TC · Technical part | $31.62 | $35.48 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $100.00 | Professional | None (both parts) | $61.66 | $69.18 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $47.86 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $29.51 | $33.11 | $50.12 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $87.10 | $93.33 | $104.71 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $52.48 | Professional | 26 · Professional part | $45.71 | $47.86 | $52.48 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $50.12 | Professional | TC · Technical part | $40.74 | $44.67 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $74.13 | $83.18 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $43.65 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $33.88 | $39.81 | $53.70 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $616.60 | Facility | None | $91.20 | $177.83 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $549.54 | Professional | None (both parts) | $61.66 | $75.86 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $281.84 | Professional | 26 · Professional part | $33.88 | $40.74 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $354.81 | Professional | TC · Technical part | $28.18 | $35.48 | $354.81 |
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 $61.66 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $61.66 | $67.61 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $37.15 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $28.18 | $30.90 | $52.48 |
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 $33.11 Median $37.15 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $16.60 | Professional | 53 · Discontinued | $13.49 | $14.79 | $16.60 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 44th of 51
$74.13
AK $229NJ $61.66
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.