How much rates vary
Facilitymedian $72 · 10th to 90th $19 to $2,884Professionalmedian $19 · 10th to 90th $11 to $68
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 $16.98 Median $2,290.87 Typical High $3,801.89 | Facility | None | $16.98 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $18.20 Typical High $19.50 | Professional | None (both parts) | $16.98 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $10.00 | Professional | 26 · Professional part | $8.71 | $9.12 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $9.12 Typical High $9.33 | Professional | TC · Technical part | $8.13 | $9.12 | $9.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.72 Median $18.20 Typical High $26.30 | Professional | None (both parts) | $10.72 | $18.20 | $26.30 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $8.13 | $9.33 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $8.91 Typical High $14.13 | Professional | TC · Technical part | $7.41 | $8.91 | $14.13 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $16.98 Median $17.78 Typical High $25.12 | Professional | None (both parts) | $16.98 | $17.78 | $25.12 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $10.96 | Professional | 26 · Professional part | $8.71 | $8.91 | $10.96 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.91 Typical High $10.96 | Professional | TC · Technical part | $8.32 | $8.91 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $79.43 Typical High $79.43 | Facility | None | $43.65 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.05 Typical High $36.31 | Professional | None (both parts) | $15.14 | $19.05 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $18.62 | Professional | 26 · Professional part | $7.94 | $9.55 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $9.12 Typical High $18.62 | Professional | TC · Technical part | $7.08 | $9.12 | $18.62 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $33.88 Typical High $74.13 | Facility | None | $19.05 | $33.88 | $74.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $20.89 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $20.89 | $100.00 | $100.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $10.96 | $51.29 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $10.23 | $48.98 | $48.98 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Facility | None | $91.20 | $91.20 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $15.85 Median $28.18 Typical High $42.66 | Professional | None (both parts) | $15.85 | $28.18 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $14.79 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $13.80 Typical High $20.42 | Professional | TC · Technical part | $7.59 | $13.80 | $20.42 |
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 $8.32 Median $9.12 Typical High $9.77 | Professional | 52 · Reduced service | $8.32 | $9.12 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.63 Typical High $3.89 | Professional | 53 · Discontinued | $3.39 | $3.63 | $3.89 |
Where Missouri sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 33rd of 51
$19.05
MN $38.02FL $14.13
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.