How much rates vary
Facilitymedian $65 · 10th to 90th $19 to $832Professionalmedian $20 · 10th to 90th $13 to $41
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 $17.38 Median $17.38 Typical High $36.31 | Facility | None | $17.38 | $17.38 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $17.38 Typical High $20.42 | Professional | None (both parts) | $16.60 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $16.22 | Professional | 26 · Professional part | $13.18 | $13.80 | $16.22 |
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 $12.02 Median $20.42 Typical High $40.74 | Professional | None (both parts) | $12.02 | $20.42 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $16.22 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $5.01 Typical High $36.31 | Professional | TC · Technical part | $2.57 | $5.01 | $36.31 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $16.98 Median $17.78 Typical High $20.89 | Professional | None (both parts) | $16.98 | $17.78 | $20.89 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $15.85 | Professional | 26 · Professional part | $13.18 | $13.80 | $15.85 |
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 $79.43 Median $93.33 Typical High $758.58 | Facility | None | $79.43 | $93.33 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $16.22 Typical High $26.92 | Professional | None (both parts) | $15.49 | $16.22 | $26.92 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $16.98 | Professional | 26 · Professional part | $12.30 | $12.88 | $16.98 |
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 $18.62 Median $58.88 Typical High $933.25 | Facility | None | $18.62 | $58.88 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $15.85 Median $28.84 Typical High $263.03 | Professional | None (both parts) | $15.85 | $28.84 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $85.11 | Professional | 26 · Professional part | $10.23 | $13.49 | $85.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $16.22 Typical High $208.93 | Professional | TC · Technical part | $2.88 | $16.22 | $208.93 |
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 $13.18 Median $26.30 Typical High $35.48 | Professional | None (both parts) | $13.18 | $26.30 | $35.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $10.23 | $12.59 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $13.80 Typical High $16.22 | Professional | TC · Technical part | $2.45 | $13.80 | $16.22 |
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 $8.32 Median $8.71 Typical High $10.23 | Professional | 52 · Reduced service | $8.32 | $8.71 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $3.47 | $4.07 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 59 · Distinct service | $15.14 | $15.14 | $15.14 |
Where Missouri sits
The same service costs 2.6 times more in California than in New York. 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
$20.42
CA $38.02NY $14.45
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.