How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,698 to $14,125Professionalmedian $1,413 · 10th to 90th $1,122 to $3,020
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 $2,511.89 Median $7,762.47 Typical High $15,135.61 | Facility | None | $2,511.89 | $7,762.47 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,348.96 Typical High $5,623.41 | Professional | None (both parts) | $1,174.90 | $1,348.96 | $5,623.41 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $338.84 Typical High $446.68 | Professional | 26 · Professional part | $302.00 | $338.84 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $870.96 Typical High $1,000.00 | Professional | TC · Technical part | $758.58 | $870.96 | $1,000.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 26 · Professional part | $1,122.02 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $9,332.54 Typical High $15,135.61 | Facility | None | $4,168.69 | $9,332.54 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,348.96 Typical High $2,089.30 | Professional | None (both parts) | $1,148.15 | $1,348.96 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $416.87 Typical High $616.60 | Professional | 26 · Professional part | $346.74 | $416.87 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $912.01 Typical High $1,513.56 | Professional | TC · Technical part | $776.25 | $912.01 | $1,513.56 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,148.15 Typical High $1,548.82 | Professional | None (both parts) | $1,071.52 | $1,148.15 | $1,548.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $331.13 Typical High $446.68 | Professional | 26 · Professional part | $309.03 | $331.13 | $446.68 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $812.83 Typical High $1,122.02 | Professional | TC · Technical part | $758.58 | $812.83 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $16,218.10 | Facility | None | $1,698.24 | $3,090.30 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,445.44 Typical High $2,398.83 | Professional | None (both parts) | $1,023.29 | $1,445.44 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $436.52 Typical High $691.83 | Professional | 26 · Professional part | $302.00 | $436.52 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,000.00 Typical High $1,659.59 | Professional | TC · Technical part | $707.95 | $1,000.00 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,981.07 Typical High $10,715.19 | Facility | None | $1,258.93 | $3,981.07 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,511.89 Typical High $7,413.10 | Professional | None (both parts) | $1,445.44 | $2,511.89 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $707.95 Typical High $1,905.46 | Professional | 26 · Professional part | $436.52 | $707.95 | $1,905.46 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,819.70 Typical High $5,623.41 | Professional | TC · Technical part | $1,023.29 | $1,819.70 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,513.56 | $6,165.95 | $12,589.25 |
United Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,949.84 Typical High $3,019.95 | Professional | None (both parts) | $1,174.90 | $1,949.84 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $575.44 Typical High $831.76 | Professional | 26 · Professional part | $323.59 | $575.44 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,348.96 Typical High $2,187.76 | Professional | TC · Technical part | $851.14 | $1,348.96 | $2,187.76 |
1 more rate 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 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $891.25 | $891.25 | $1,047.13 |
Where Missouri sits
The same service costs 4.0 times more in Wisconsin 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· 20th of 51
$1,862
WI $4,467NY $1,122
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.