How much rates vary
Facilitymedian $977 · 10th to 90th $269 to $2,291Professionalmedian $339 · 10th to 90th $219 to $1,445
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 $234.42 Median $524.81 Typical High $3,801.89 | Facility | None | $234.42 | $524.81 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $213.80 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $67.61 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $151.36 | $169.82 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $169.82 | $223.87 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,412.54 | Facility | None | $912.01 | $1,148.15 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $407.38 | Professional | None (both parts) | $223.87 | $302.00 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $100.00 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $194.98 | $302.00 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $213.80 | $234.42 | $316.23 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $63.10 | $67.61 | $87.10 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $154.88 | $165.96 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,584.89 | Facility | None | $501.19 | $501.19 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $199.53 | $245.47 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $70.79 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $177.83 | $338.84 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $1,621.81 | Facility | None | $275.42 | $446.68 | $1,621.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $269.15 | $1,445.44 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $81.28 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $194.98 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,737.80 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $229.09 | $346.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $104.71 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $165.96 | $251.19 | $426.58 |
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 $117.49 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $46.77 | $53.70 |
Where Missouri sits
The same service costs 3.5 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· 15th of 51
$339
AK $562UT $158
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.