How much rates vary
Facilitymedian $166 · 10th to 90th $79 to $8,128Professionalmedian $72 · 10th to 90th $59 to $245
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 $85.11 Median $2,884.03 Typical High $8,128.31 | Facility | None | $85.11 | $2,884.03 | $8,128.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $75.86 | $77.62 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $39.81 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $42.66 | Professional | TC · Technical part | $36.31 | $37.15 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $109.65 | Professional | None (both parts) | $70.79 | $79.43 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $52.48 | $67.61 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $43.65 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $54.95 | Professional | TC · Technical part | $18.20 | $23.99 | $54.95 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $69.18 | $74.13 | $100.00 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $38.02 | $56.23 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $32.36 | $35.48 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,715.19 | Facility | None | $10,232.93 | $10,232.93 | $10,715.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $64.57 | $75.86 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $43.65 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $33.88 | $58.88 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $316.23 | Facility | None | $79.43 | $112.20 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $79.43 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $79.43 | $426.58 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $48.98 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $30.90 | $169.82 | $229.09 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $64.57 | $104.71 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $66.07 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $40.74 Typical High $93.33 | Professional | TC · Technical part | $27.54 | $40.74 | $93.33 |
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 $37.15 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.49 Typical High $16.98 | Professional | 53 · Discontinued | $15.14 | $15.49 | $16.98 |
Where Missouri sits
The same service costs 3.3 times more in Alaska 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· 32nd of 51
$72.44
AK $162UT $48.98
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.