How much rates vary
Facilitymedian $1,000 · 10th to 90th $316 to $2,291Professionalmedian $324 · 10th to 90th $229 to $1,479
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 $239.88 Median $2,290.87 Typical High $3,801.89 | Facility | None | $239.88 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $239.88 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $97.72 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $147.91 | $147.91 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $134.90 | Professional | 26 · Professional part | $81.28 | $128.82 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,122.02 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $234.42 | $323.59 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $109.65 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $213.80 | $331.13 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $229.09 | $251.19 | $331.13 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $89.13 | $95.50 | $125.89 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $138.04 | $147.91 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $208.93 | $263.03 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $97.72 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $123.03 | $173.78 | $331.13 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,000.00 | Facility | None | $275.42 | $436.52 | $1,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $295.12 | $1,479.11 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $93.33 | $562.34 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $1,174.90 Typical High $1,174.90 | Professional | TC · Technical part | $190.55 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $234.42 | $426.58 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $239.88 | Professional | 26 · Professional part | $85.11 | $114.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $269.15 Typical High $398.11 | Professional | TC · Technical part | $144.54 | $269.15 | $398.11 |
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 $120.23 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $120.23 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $48.98 | $56.23 |
Where Missouri sits
The same service costs 4.7 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· 22nd of 51
$324
AK $589UT $126
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.