How much rates vary
Facilitymedian $72 · 10th to 90th $19 to $447Professionalmedian $22 · 10th to 90th $17 to $47
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 $18.62 Median $18.62 Typical High $21.88 | Facility | None | $18.62 | $18.62 | $21.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $18.62 Typical High $21.88 | Professional | None (both parts) | $17.78 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $17.38 | Professional | 26 · Professional part | $14.13 | $14.79 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $3.80 Typical High $4.37 | Professional | TC · Technical part | $3.55 | $3.80 | $4.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $23.99 Typical High $45.71 | Professional | None (both parts) | $20.42 | $23.99 | $45.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $16.98 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $6.03 Typical High $38.02 | Professional | TC · Technical part | $3.02 | $6.03 | $38.02 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $17.78 Median $18.62 Typical High $22.39 | Professional | None (both parts) | $17.78 | $18.62 | $22.39 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $16.98 | Professional | 26 · Professional part | $14.13 | $15.14 | $16.98 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $3.80 Typical High $4.37 | Professional | TC · Technical part | $3.55 | $3.80 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $446.68 | Facility | None | $83.18 | $93.33 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $17.38 Typical High $29.51 | Professional | None (both parts) | $16.60 | $17.38 | $29.51 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $19.50 | Professional | 26 · Professional part | $13.18 | $13.80 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $3.47 Typical High $5.62 | Professional | TC · Technical part | $2.95 | $3.47 | $5.62 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $72.44 Typical High $467.74 | Facility | None | $19.50 | $72.44 | $467.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $16.98 Median $30.90 Typical High $269.15 | Professional | None (both parts) | $16.98 | $30.90 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $89.13 | Professional | 26 · Professional part | $11.48 | $14.45 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $16.98 Typical High $213.80 | Professional | TC · Technical part | $2.88 | $16.98 | $213.80 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Facility | None | $407.38 | $407.38 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $28.18 Typical High $38.02 | Professional | None (both parts) | $14.13 | $28.18 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $11.22 | $13.80 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $15.49 Typical High $16.98 | Professional | TC · Technical part | $2.45 | $15.49 | $16.98 |
3 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 $8.91 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.72 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $3.72 | $4.37 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 59 · Distinct service | $16.22 | $16.22 | $16.22 |
Where Missouri sits
The same service costs 2.5 times more in California than in Texas. 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· 20th of 51
$22.39
CA $40.74TX $16.22
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.