How much rates vary
Facilitymedian $89 · 10th to 90th $35 to $2,884Professionalmedian $49 · 10th to 90th $32 to $363
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 $30.90 Median $2,290.87 Typical High $3,801.89 | Facility | None | $30.90 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $35.48 | Professional | None (both parts) | $30.90 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $15.14 | Professional | 26 · Professional part | $12.88 | $13.80 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.95 Typical High $20.89 | Professional | TC · Technical part | $17.78 | $19.95 | $20.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $46.77 Typical High $100.00 | Professional | None (both parts) | $33.11 | $46.77 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $14.13 | $18.20 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.18 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $28.18 | $58.88 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $33.11 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $33.11 | $34.67 | $53.70 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $12.59 | $13.18 | $19.50 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $36.31 | Professional | TC · Technical part | $19.95 | $21.38 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $177.83 | Facility | None | $77.62 | $77.62 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $87.10 | Professional | None (both parts) | $29.51 | $37.15 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $12.02 | $14.79 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $54.95 | Professional | TC · Technical part | $16.98 | $21.38 | $54.95 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $69.18 Typical High $186.21 | Facility | None | $35.48 | $69.18 | $186.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $43.65 | $363.08 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $18.20 | $223.87 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $25.12 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $194.98 | Facility | None | $186.21 | $186.21 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $54.95 Typical High $79.43 | Professional | None (both parts) | $29.51 | $54.95 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $12.30 | $21.38 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $16.98 | $32.36 | $50.12 |
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 $15.49 Median $17.38 Typical High $17.78 | Professional | 52 · Reduced service | $15.49 | $17.38 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $6.92 | $7.08 |
Where Missouri sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 16th of 51
$48.98
MN $74.13AL $28.18
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.