How much rates vary
Facilitymedian $447 · 10th to 90th $148 to $2,884Professionalmedian $251 · 10th to 90th $138 to $1,778
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 $128.82 Median $2,290.87 Typical High $3,801.89 | Facility | None | $128.82 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $128.82 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $40.74 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $104.71 | Professional | TC · Technical part | $89.13 | $100.00 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $173.78 | $251.19 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $47.86 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $295.12 | Professional | TC · Technical part | $120.23 | $147.91 | $295.12 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $134.90 | $141.25 | $239.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $39.81 | $57.54 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $102.33 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $501.19 Typical High $537.03 | Facility | None | $194.98 | $501.19 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $114.82 | $154.88 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $44.67 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $331.13 | Professional | TC · Technical part | $77.62 | $114.82 | $331.13 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $323.59 Typical High $724.44 | Facility | None | $147.91 | $323.59 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $208.93 | $1,778.28 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $52.48 | $1,202.26 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $1,548.82 Typical High $1,548.82 | Professional | TC · Technical part | $151.36 | $1,548.82 | $1,548.82 |
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 $134.90 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $134.90 | $263.03 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $37.15 | $64.57 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $97.72 | $194.98 | $295.12 |
4 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 $64.57 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $28.18 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $20.89 Typical High $22.39 | Professional | 55 · Aftercare only | $19.50 | $20.89 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $14.13 Typical High $14.79 | Professional | 56 · Pre-op care only | $12.88 | $14.13 | $14.79 |
Where Missouri sits
The same service costs 3.2 times more in Kansas 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· 14th of 51
$257
KS $324UT $100
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.