How much rates vary
Facilitymedian $115 · 10th to 90th $29 to $2,291Professionalmedian $44 · 10th to 90th $26 to $646
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 $26.92 Median $512.86 Typical High $3,801.89 | Facility | None | $26.92 | $512.86 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.84 Typical High $47.86 | Professional | None (both parts) | $26.92 | $28.84 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $12.30 | Professional | 26 · Professional part | $7.41 | $7.94 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $20.89 Typical High $32.36 | Professional | TC · Technical part | $19.05 | $20.89 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $33.11 | Professional | None (both parts) | $19.50 | $19.50 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $9.77 Typical High $11.22 | Professional | 26 · Professional part | $5.75 | $9.77 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $165.96 | Facility | None | $104.71 | $117.49 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $46.77 Typical High $81.28 | Professional | None (both parts) | $28.84 | $46.77 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.02 Typical High $19.05 | Professional | 26 · Professional part | $7.94 | $12.02 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $48.98 | Professional | TC · Technical part | $19.05 | $22.91 | $48.98 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $24.55 | $26.92 | $36.31 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $10.72 | Professional | 26 · Professional part | $7.59 | $8.32 | $10.72 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $18.62 Typical High $25.70 | Professional | TC · Technical part | $17.38 | $18.62 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $29.51 Typical High $61.66 | Professional | None (both parts) | $22.91 | $29.51 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $6.92 | $8.51 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $45.71 | Professional | TC · Technical part | $16.22 | $21.38 | $45.71 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $60.26 Typical High $512.86 | Facility | None | $30.20 | $60.26 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $35.48 | $645.65 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $9.55 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $25.70 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $26.30 | $44.67 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $7.59 | $12.30 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $32.36 Typical High $47.86 | Professional | TC · Technical part | $19.05 | $32.36 | $47.86 |
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 $13.18 Median $13.49 Typical High $15.49 | Professional | 52 · Reduced service | $13.18 | $13.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.17 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.17 |
Where Missouri sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$44.67
MN $69.18MD $25.70
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.