How much rates vary
Facilitymedian $676 · 10th to 90th $178 to $2,291Professionalmedian $191 · 10th to 90th $151 to $1,023
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 $165.96 Median $2,290.87 Typical High $3,801.89 | Facility | None | $165.96 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $147.91 | $165.96 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $38.90 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $125.89 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $295.12 | Professional | None (both parts) | $120.23 | $120.23 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $954.99 | Facility | None | $616.60 | $691.83 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $147.91 | $186.21 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $57.54 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $134.90 | $213.80 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $151.36 | $162.18 | $213.80 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $38.90 | $51.29 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $114.82 | $123.03 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $1,584.89 | Facility | None | $338.84 | $338.84 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $141.25 | $165.96 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $41.69 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $107.15 | $125.89 | $251.19 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $1,621.81 | Facility | None | $169.82 | $302.00 | $1,621.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $169.82 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $46.77 | $281.84 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $131.83 | $794.33 | $794.33 |
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 $151.36 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $151.36 | $239.88 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $60.26 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $112.20 | $173.78 | $309.03 |
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 $81.28 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $81.28 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $33.11 | $38.02 |
Where Missouri sits
The same service costs 3.0 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· 26th of 51
$191
AK $380UT $129
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.