How much rates vary
Facilitymedian $162 · 10th to 90th $36 to $1,259Professionalmedian $50 · 10th to 90th $35 to $123
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 $35.48 Median $38.90 Typical High $38.90 | Facility | None | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $38.90 Typical High $45.71 | Professional | None (both parts) | $22.91 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $15.85 | Professional | 26 · Professional part | $9.77 | $12.30 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $43.65 Typical High $67.61 | Professional | TC · Technical part | $17.38 | $43.65 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $38.90 | $61.66 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.78 Typical High $28.84 | Professional | 26 · Professional part | $12.88 | $17.78 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $48.98 | $57.54 | $74.13 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $36.31 | Professional | None (both parts) | $32.36 | $33.88 | $36.31 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $15.49 | Professional | 26 · Professional part | $13.80 | $14.79 | $15.49 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.50 Typical High $20.89 | Professional | TC · Technical part | $18.62 | $19.50 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $35.48 Typical High $72.44 | Professional | None (both parts) | $32.36 | $35.48 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $12.88 | $13.49 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $18.20 Typical High $53.70 | Professional | TC · Technical part | $16.60 | $18.20 | $53.70 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $165.96 Typical High $1,202.26 | Facility | None | $36.31 | $165.96 | $1,202.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $58.88 Typical High $630.96 | Professional | None (both parts) | $45.71 | $58.88 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $331.13 | Professional | 26 · Professional part | $9.12 | $10.96 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $537.03 | Professional | TC · Technical part | $36.31 | $43.65 | $537.03 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,412.54 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $45.71 | $50.12 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $9.12 | $10.00 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $35.48 | $39.81 | $60.26 |
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 $11.48 Median $19.50 Typical High $22.91 | Professional | 52 · Reduced service | $11.48 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.76 Typical High $9.12 | Professional | 53 · Discontinued | $4.68 | $7.76 | $9.12 |
Where Missouri sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 34th of 51
$50.12
AK $110OH $33.11
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.