How much rates vary
Facilitymedian $1,622 · 10th to 90th $457 to $20,417Professionalmedian $398 · 10th to 90th $245 to $776
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 $234.42 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $234.42 | $239.88 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $173.78 Typical High $194.98 | Professional | 26 · Professional part | $154.88 | $173.78 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $74.13 | Professional | TC · Technical part | $63.10 | $66.07 | $74.13 |
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 $263.03 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $263.03 | $363.08 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $177.83 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $67.61 | $87.10 | $147.91 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
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 $234.42 Median $645.65 Typical High $28,183.83 | Facility | None | $234.42 | $645.65 | $28,183.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $204.17 | $295.12 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $218.78 Typical High $363.08 | Professional | 26 · Professional part | $151.36 | $218.78 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $53.70 | $77.62 | $134.90 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,445.44 Typical High $15,135.61 | Facility | None | $389.05 | $1,445.44 | $15,135.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $616.60 Typical High $5,370.32 | Professional | None (both parts) | $302.00 | $616.60 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $398.11 Typical High $1,023.29 | Professional | 26 · Professional part | $213.80 | $398.11 | $1,023.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $223.87 Typical High $5,128.61 | Professional | TC · Technical part | $93.33 | $223.87 | $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 $245.47 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $245.47 | $436.52 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $281.84 Typical High $426.58 | Professional | 26 · Professional part | $169.82 | $281.84 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $151.36 Typical High $323.59 | Professional | TC · Technical part | $72.44 | $151.36 | $323.59 |
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 $114.82 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $47.86 | $53.70 |
Where Missouri sits
The same service costs 5.8 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· 20th of 51
$407
LA $1,288AL $224
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.