How much rates vary
Facilitymedian $776 · 10th to 90th $214 to $2,291Professionalmedian $355 · 10th to 90th $209 to $1,230
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 $186.21 Median $2,290.87 Typical High $3,801.89 | Facility | None | $186.21 | $2,290.87 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $186.21 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $107.15 | Professional | 26 · Professional part | $93.33 | $97.72 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $104.71 | Professional | TC · Technical part | $91.20 | $93.33 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,737.80 | Facility | None | $1,122.02 | $1,258.93 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $288.40 | $354.81 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $177.83 | Professional | 26 · Professional part | $97.72 | $131.83 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $245.47 | $407.38 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $316.23 | $316.23 | $380.19 |
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 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $162.18 | $208.93 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $104.71 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $102.33 | $190.55 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $346.74 Typical High $776.25 | Facility | None | $204.17 | $346.74 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $309.03 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $117.49 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $1,023.29 Typical High $1,096.48 | Professional | TC · Technical part | $213.80 | $1,023.29 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $269.15 | $446.68 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $154.88 Typical High $234.42 | Professional | 26 · Professional part | $93.33 | $154.88 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $295.12 | $501.19 |
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 $91.20 Median $95.50 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $42.66 | Professional | 53 · Discontinued | $37.15 | $38.02 | $42.66 |
Where Missouri sits
The same service costs 3.1 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· 11th of 51
$355
AK $537NY $174
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.