How much rates vary
Facilitymedian $117 · 10th to 90th $74 to $2,884Professionalmedian $76 · 10th to 90th $65 to $288
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 $91.20 Median $2,290.87 Typical High $3,801.89 | Facility | None | $91.20 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $181.97 | Professional | None (both parts) | $83.18 | $85.11 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $40.74 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $38.02 | $45.71 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $60.26 | $100.00 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $64.57 | $69.18 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $40.74 | $46.77 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $61.66 | Professional | TC · Technical part | $21.38 | $23.44 | $61.66 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $77.62 | $83.18 | $109.65 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $39.81 | $60.26 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $42.66 Typical High $52.48 | Professional | TC · Technical part | $38.90 | $42.66 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $74.13 Typical High $117.49 | Facility | None | $56.23 | $74.13 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $144.54 | Professional | None (both parts) | $67.61 | $77.62 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $45.71 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $41.69 Typical High $61.66 | Professional | TC · Technical part | $26.30 | $41.69 | $61.66 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $112.20 Typical High $354.81 | Facility | None | $75.86 | $112.20 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $61.66 | $562.34 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $39.81 | $234.42 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $20.89 | $288.40 | $288.40 |
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 $56.23 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $56.23 | $85.11 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $47.86 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $37.15 Typical High $77.62 | Professional | TC · Technical part | $20.42 | $37.15 | $77.62 |
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 $42.66 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.50 |
Where Missouri sits
The same service costs 3.4 times more in Alaska than in New York. 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· 42nd of 51
$75.86
AK $182NY $53.70
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.