How much rates vary
Facilitymedian $1,698 · 10th to 90th $447 to $17,378Professionalmedian $339 · 10th to 90th $209 to $575
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 $5,623.41 Typical High $13,803.84 | Facility | None | $2,511.89 | $5,623.41 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $4,365.16 | Professional | None (both parts) | $204.17 | $218.78 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $125.89 Typical High $144.54 | Professional | 26 · Professional part | $123.03 | $125.89 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $81.28 | $81.28 | $93.33 |
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 $218.78 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $218.78 | $316.23 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $257.04 | Professional | 26 · Professional part | $131.83 | $186.21 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $83.18 | $104.71 | $177.83 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $114.82 | $123.03 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $645.65 Typical High $28,183.83 | Facility | None | $288.40 | $645.65 | $28,183.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $177.83 | $251.19 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $158.49 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $158.49 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $97.72 | $165.96 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $14,125.38 | Facility | None | $323.59 | $1,445.44 | $14,125.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $524.81 Typical High $5,370.32 | Professional | None (both parts) | $257.04 | $524.81 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $288.40 Typical High $741.31 | Professional | 26 · Professional part | $154.88 | $288.40 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $234.42 Typical High $5,128.61 | Professional | TC · Technical part | $112.20 | $234.42 | $5,128.61 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,621.81 Typical High $15,848.93 | Facility | None | $562.34 | $1,621.81 | $15,848.93 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $208.93 | $371.54 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $204.17 Typical High $316.23 | Professional | 26 · Professional part | $125.89 | $204.17 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $162.18 Typical High $316.23 | Professional | TC · Technical part | $89.13 | $162.18 | $316.23 |
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 $102.33 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $102.33 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $41.69 | $47.86 |
Where Missouri sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 22nd of 51
$372
OK $4,786HI $158
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.