How much rates vary
Facilitymedian $1,585 · 10th to 90th $447 to $19,055Professionalmedian $282 · 10th to 90th $174 to $525
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 $1,698.24 Median $5,623.41 Typical High $7,762.47 | Facility | None | $1,698.24 | $5,623.41 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $165.96 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $125.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $45.71 | $47.86 | $53.70 |
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 $181.97 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $181.97 | $257.04 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $186.21 Typical High $234.42 | Professional | 26 · Professional part | $128.82 | $186.21 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $100.00 | Professional | TC · Technical part | $46.77 | $60.26 | $100.00 |
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 $112.20 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $123.03 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $645.65 Typical High $28,183.83 | Facility | None | $165.96 | $645.65 | $28,183.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $147.91 | $208.93 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $109.65 | $154.88 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $54.95 | $95.50 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $1,445.44 Typical High $14,125.38 | Facility | None | $269.15 | $1,445.44 | $14,125.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $436.52 Typical High $5,370.32 | Professional | None (both parts) | $208.93 | $436.52 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $288.40 Typical High $707.95 | Professional | 26 · Professional part | $151.36 | $288.40 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $147.91 Typical High $5,248.07 | Professional | TC · Technical part | $64.57 | $147.91 | $5,248.07 |
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 $173.78 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $173.78 | $309.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $199.53 Typical High $309.03 | Professional | 26 · Professional part | $123.03 | $199.53 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $100.00 Typical High $213.80 | Professional | TC · Technical part | $50.12 | $100.00 | $213.80 |
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 $83.18 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $83.18 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $38.90 | Professional | 53 · Discontinued | $33.11 | $34.67 | $38.90 |
Where Missouri sits
The same service costs 8.3 times more in Louisiana 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· 23rd of 51
$282
LA $1,288HI $155
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.