How much rates vary
Facilitymedian $603 · 10th to 90th $126 to $7,413Professionalmedian $372 · 10th to 90th $105 to $891
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 $213.80 Median $309.03 Typical High $602.56 | Facility | None | $213.80 | $309.03 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $213.80 | $245.47 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $87.10 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $158.49 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $107.15 | $125.89 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $8,709.64 Typical High $12,882.50 | Facility | None | $1,479.11 | $8,709.64 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $104.71 | $346.74 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $123.03 | $173.78 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $93.33 | $100.00 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $13,182.57 Typical High $26,915.35 | Facility | None | $7,413.10 | $13,182.57 | $26,915.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $186.21 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $102.33 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $114.82 | $186.21 | $309.03 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $398.11 Typical High $1,905.46 | Facility | None | $123.03 | $398.11 | $1,905.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $741.31 Typical High $5,623.41 | Professional | None (both parts) | $363.08 | $741.31 | $5,623.41 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $181.97 Typical High $912.01 | Professional | 26 · Professional part | $107.15 | $181.97 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $537.03 Typical High $5,495.41 | Professional | TC · Technical part | $263.03 | $537.03 | $5,495.41 |
United Setting Facility Modifier None Typical Low $123.03 Median $616.60 Typical High $5,011.87 | Facility | None | $123.03 | $616.60 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $512.86 Typical High $891.25 | Professional | None (both parts) | $288.40 | $512.86 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $138.04 Typical High $194.98 | Professional | 26 · Professional part | $75.86 | $138.04 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $199.53 | $363.08 | $691.83 |
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 $107.15 Median $109.65 Typical High $123.03 | Professional | 52 · Reduced service | $107.15 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $44.67 | $50.12 |
Where Missouri sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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
$372
WI $776OR $182
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.