How much rates vary
Facilitymedian $537 · 10th to 90th $123 to $4,365Professionalmedian $257 · 10th to 90th $178 to $479
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 $186.21 Median $4,677.35 Typical High $7,762.47 | Facility | None | $186.21 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $165.96 | $194.98 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $72.44 | $87.10 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $91.20 | $93.33 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $85.11 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $181.97 | $257.04 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $114.82 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $125.89 | $208.93 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $74.13 | $79.43 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $147.91 | $213.80 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $97.72 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $109.65 | $190.55 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $354.81 Typical High $2,041.74 | Facility | None | $123.03 | $354.81 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $2,570.40 | Professional | None (both parts) | $218.78 | $416.87 | $2,570.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $186.21 Typical High $1,202.26 | Professional | 26 · Professional part | $100.00 | $186.21 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $245.47 Typical High $1,445.44 | Professional | TC · Technical part | $117.49 | $245.47 | $1,445.44 |
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 $181.97 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $181.97 | $316.23 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $131.83 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $186.21 | $338.84 |
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 $85.11 Median $89.13 Typical High $97.72 | Professional | 52 · Reduced service | $85.11 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $35.48 | $39.81 |
Where Missouri sits
The same service costs 4.3 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· 13th of 51
$257
WI $562HI $132
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.