How much rates vary
Facilitymedian $1,288 · 10th to 90th $275 to $2,512Professionalmedian $309 · 10th to 90th $178 to $437
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 $141.25 Median $141.25 Typical High $199.53 | Facility | None | $141.25 | $141.25 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $141.25 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $33.11 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $107.15 | $154.88 |
BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,584.89 | $3,311.31 |
BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $147.91 | $251.19 | $338.84 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $50.12 | $66.07 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $162.18 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $295.12 | $309.03 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $87.10 | Professional | 26 · Professional part | $70.79 | $72.44 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $275.42 | Professional | TC · Technical part | $223.87 | $234.42 | $275.42 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $676.08 Typical High $912.01 | Facility | None | $177.83 | $676.08 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $1,023.29 | Professional | None (both parts) | $194.98 | $338.84 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $281.84 | Professional | 26 · Professional part | $46.77 | $85.11 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $275.42 Typical High $794.33 | Professional | TC · Technical part | $147.91 | $275.42 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $380.19 | Professional | None | $302.00 | $309.03 | $380.19 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $72.44 | $72.44 | $91.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $229.09 | $234.42 | $295.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $398.11 | Professional | None (both parts) | $295.12 | $380.19 | $398.11 |
United Setting Facility Modifier None Typical Low $676.08 Median $724.44 Typical High $933.25 | Facility | None | $676.08 | $724.44 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $194.98 | $302.00 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $75.86 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $245.47 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $245.47 | $302.00 |
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 $69.18 Median $69.18 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 53 · Discontinued | $28.18 | $28.18 | $36.31 |
Where Nebraska 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.
Nebraska· 4th of 51
$309
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.