How much rates vary
Facilitymedian $138 · 10th to 90th $28 to $2,291Professionalmedian $46 · 10th to 90th $25 to $724
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 $24.55 Median $478.63 Typical High $3,801.89 | Facility | None | $24.55 | $478.63 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.18 Typical High $50.12 | Professional | None (both parts) | $24.55 | $28.18 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.47 Typical High $5.50 | Professional | 26 · Professional part | $3.24 | $3.47 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $21.38 | $24.55 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $30.90 Typical High $34.67 | Professional | None (both parts) | $18.20 | $30.90 | $34.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.80 Typical High $5.13 | Professional | 26 · Professional part | $2.63 | $3.80 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $186.21 | Facility | None | $117.49 | $131.83 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $46.77 Typical High $173.78 | Professional | None (both parts) | $27.54 | $46.77 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $5.13 Typical High $7.08 | Professional | 26 · Professional part | $3.63 | $5.13 | $7.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $151.36 | Professional | TC · Technical part | $23.44 | $36.31 | $151.36 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $22.91 Median $25.12 Typical High $33.11 | Professional | None (both parts) | $22.91 | $25.12 | $33.11 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $3.72 Typical High $4.90 | Professional | 26 · Professional part | $3.47 | $3.72 | $4.90 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $28.84 | Professional | TC · Technical part | $19.50 | $21.38 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.92 Typical High $74.13 | Professional | None (both parts) | $20.89 | $26.92 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.80 Typical High $6.92 | Professional | 26 · Professional part | $3.02 | $3.80 | $6.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $66.07 | Professional | TC · Technical part | $18.20 | $22.91 | $66.07 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $128.82 Typical High $512.86 | Facility | None | $34.67 | $128.82 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $33.88 | $724.44 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $4.37 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $4.37 | $288.40 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $29.51 | $660.69 | $660.69 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $45.71 Typical High $95.50 | Professional | None (both parts) | $24.55 | $45.71 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $5.89 Typical High $8.32 | Professional | 26 · Professional part | $3.24 | $5.89 | $8.32 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $85.11 | Professional | TC · Technical part | $21.38 | $38.90 | $85.11 |
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 $12.30 Median $12.30 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $5.75 | Professional | 53 · Discontinued | $4.90 | $5.01 | $5.75 |
Where Missouri sits
The same service costs 2.9 times more in Kansas 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
$45.71
KS $74.13MD $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.