How much rates vary
Facilitymedian $1,622 · 10th to 90th $447 to $20,417Professionalmedian $380 · 10th to 90th $234 to $759
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 $257.04 Median $4,897.79 Typical High $7,762.47 | Facility | None | $257.04 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $218.78 | $234.42 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $177.83 Typical High $199.53 | Professional | 26 · Professional part | $154.88 | $177.83 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $56.23 | $57.54 | $64.57 |
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 $251.19 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $251.19 | $346.74 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $257.04 Typical High $331.13 | Professional | 26 · Professional part | $181.97 | $257.04 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $123.03 | Professional | TC · Technical part | $57.54 | $74.13 | $123.03 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $169.82 Typical High $229.09 | Professional | 26 · Professional part | $158.49 | $169.82 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $645.65 Typical High $28,183.83 | Facility | None | $204.17 | $645.65 | $28,183.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $199.53 | $281.84 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $218.78 Typical High $363.08 | Professional | 26 · Professional part | $154.88 | $218.78 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $46.77 | $67.61 | $114.82 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,445.44 Typical High $15,135.61 | Facility | None | $371.54 | $1,445.44 | $15,135.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $588.84 Typical High $5,370.32 | Professional | None (both parts) | $288.40 | $588.84 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $398.11 Typical High $1,000.00 | Professional | 26 · Professional part | $213.80 | $398.11 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $190.55 Typical High $5,128.61 | Professional | TC · Technical part | $77.62 | $190.55 | $5,128.61 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,737.80 Typical High $21,379.62 | Facility | None | $562.34 | $1,737.80 | $21,379.62 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $707.95 | Professional | None (both parts) | $234.42 | $416.87 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $281.84 Typical High $436.52 | Professional | 26 · Professional part | $169.82 | $281.84 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $128.82 Typical High $281.84 | Professional | TC · Technical part | $60.26 | $128.82 | $281.84 |
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 $112.20 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $46.77 | $52.48 |
Where Missouri sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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
$389
LA $1,288AL $219
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.