How much rates vary
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 $117.49 Median $2,290.87 Typical High $3,801.89 | Facility | None | $117.49 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $117.49 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $61.66 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $66.07 | Professional | TC · Technical part | $58.88 | $64.57 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $120.23 | $162.18 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $91.20 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $56.23 | $66.07 | $117.49 |
BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $114.82 | $120.23 | $165.96 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $57.54 | $87.10 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $75.86 | Professional | TC · Technical part | $57.54 | $63.10 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $1,174.90 | Facility | None | $199.53 | $199.53 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $104.71 | $128.82 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $66.07 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $51.29 | $61.66 | $120.23 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $239.88 Typical High $1,202.26 | Facility | None | $134.90 | $239.88 | $1,202.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $151.36 | $851.14 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $81.28 | $562.34 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $67.61 | $562.34 | $562.34 |
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 $107.15 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $107.15 | $190.55 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $100.00 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $51.29 | $91.20 | $147.91 |
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 $58.88 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $25.12 | $26.92 |
Where Missouri sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$174
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.