How much rates vary
Facilitymedian $603 · 10th to 90th $123 to $7,413Professionalmedian $195 · 10th to 90th $79 to $389
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 $114.82 Median $114.82 Typical High $131.83 | Facility | None | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $114.82 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $63.10 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $95.50 | Professional | TC · Technical part | $61.66 | $69.18 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $85.11 | $85.11 | $112.20 |
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 $79.43 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $79.43 | $169.82 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $97.72 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $109.65 | $186.21 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $74.13 | $79.43 | $107.15 |
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 $102.33 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $102.33 | $154.88 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $74.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $51.29 | $81.28 | $151.36 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $354.81 Typical High $1,230.27 | Facility | None | $120.23 | $354.81 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $331.13 Typical High $5,754.40 | Professional | None (both parts) | $190.55 | $331.13 | $5,754.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $134.90 Typical High $660.69 | Professional | 26 · Professional part | $83.18 | $134.90 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $199.53 Typical High $5,495.41 | Professional | TC · Technical part | $102.33 | $199.53 | $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 $154.88 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $154.88 | $251.19 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $100.00 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $151.36 | $251.19 |
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 $57.54 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $57.54 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.99 | $26.92 |
Where Missouri sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 23rd of 51
$200
WI $417VA $110
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.