How much rates vary
Facilitymedian $110 · 10th to 90th $46 to $245Professionalmedian $46 · 10th to 90th $32 to $85
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 $41.69 Median $45.71 Typical High $45.71 | Facility | None | $41.69 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $52.48 | Professional | None (both parts) | $41.69 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.59 Typical High $8.91 | Professional | 26 · Professional part | $6.92 | $7.59 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $44.67 | Professional | TC · Technical part | $34.67 | $38.02 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $45.71 Typical High $57.54 | Professional | None (both parts) | $25.70 | $45.71 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $13.18 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $39.81 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $39.81 | $50.12 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $60.26 | Professional | None (both parts) | $51.29 | $56.23 | $60.26 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.33 Typical High $9.77 | Professional | 26 · Professional part | $8.91 | $9.33 | $9.77 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $50.12 | Professional | TC · Technical part | $42.66 | $46.77 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $52.48 Typical High $69.18 | Professional | None (both parts) | $47.86 | $52.48 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $13.18 | Professional | 26 · Professional part | $7.94 | $8.13 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $57.54 | Professional | TC · Technical part | $39.81 | $43.65 | $57.54 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $109.65 Typical High $245.47 | Facility | None | $50.12 | $109.65 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $346.74 | Professional | None (both parts) | $38.90 | $47.86 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.91 Typical High $165.96 | Professional | 26 · Professional part | $6.76 | $8.91 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $288.40 | Professional | TC · Technical part | $32.36 | $39.81 | $288.40 |
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 $38.90 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $38.90 | $43.65 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.41 Typical High $11.22 | Professional | 26 · Professional part | $6.76 | $7.41 | $11.22 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $32.36 | $35.48 | $57.54 |
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 $20.42 Median $22.91 Typical High $25.70 | Professional | 52 · Reduced service | $20.42 | $22.91 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $10.23 | Professional | 53 · Discontinued | $8.32 | $9.12 | $10.23 |
Where Missouri sits
The same service costs 3.5 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· 40th of 51
$45.71
AK $135NJ $38.90
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.