How much rates vary
Facilitymedian $550 · 10th to 90th $129 to $4,677Professionalmedian $417 · 10th to 90th $295 to $794
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 $309.03 Median $4,677.35 Typical High $7,762.47 | Facility | None | $309.03 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $275.42 | $309.03 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $91.20 | $104.71 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $186.21 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $302.00 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $10,232.93 Typical High $12,882.50 | Facility | None | $8,709.64 | $10,232.93 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $323.59 | $416.87 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $144.54 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $251.19 | $407.38 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $93.33 | $100.00 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $245.47 | $346.74 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $123.03 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $380.19 | Professional | TC · Technical part | $151.36 | $218.78 | $380.19 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $3,090.30 | Facility | None | $125.89 | $426.58 | $3,090.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $354.81 Median $676.08 Typical High $2,951.21 | Professional | None (both parts) | $354.81 | $676.08 | $2,951.21 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $229.09 Typical High $1,445.44 | Professional | 26 · Professional part | $123.03 | $229.09 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $467.74 Typical High $2,818.38 | Professional | TC · Technical part | $234.42 | $467.74 | $2,818.38 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,137.96 | Facility | None | $123.03 | $549.54 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $512.86 Typical High $891.25 | Professional | None (both parts) | $302.00 | $512.86 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $165.96 Typical High $251.19 | Professional | 26 · Professional part | $100.00 | $165.96 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $199.53 | $354.81 | $630.96 |
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 $141.25 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $141.25 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $57.54 | $64.57 |
Where Missouri sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 14th of 51
$417
WI $891HI $138
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.