How much rates vary
Facilitymedian $1,698 · 10th to 90th $447 to $15,136Professionalmedian $91 · 10th to 90th $56 to $209
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 $48.98 Median $50.12 Typical High $75.86 | Professional | None (both parts) | $48.98 | $50.12 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $39.81 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $11.75 | Professional | TC · Technical part | $10.23 | $10.23 | $11.75 |
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 $70.79 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $70.79 | $91.20 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $45.71 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.98 Typical High $28.18 | Professional | TC · Technical part | $13.49 | $16.98 | $28.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $38.90 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $21,877.62 Typical High $35,481.34 | Facility | None | $47.86 | $21,877.62 | $35,481.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $104.71 | Professional | None (both parts) | $42.66 | $66.07 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $52.48 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $13.49 Typical High $21.38 | Professional | TC · Technical part | $8.32 | $13.49 | $21.38 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $1,445.44 Typical High $10,715.19 | Facility | None | $100.00 | $1,445.44 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $165.96 Typical High $2,344.23 | Professional | None (both parts) | $77.62 | $165.96 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $1,348.96 | Professional | 26 · Professional part | $54.95 | $91.20 | $1,348.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $74.13 Typical High $354.81 | Professional | TC · Technical part | $18.62 | $74.13 | $354.81 |
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 $58.88 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $58.88 | $114.82 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $70.79 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $47.86 Typical High $100.00 | Professional | TC · Technical part | $15.49 | $47.86 | $100.00 |
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 $24.55 Median $25.12 Typical High $28.84 | Professional | 52 · Reduced service | $24.55 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.00 Typical High $11.48 | Professional | 53 · Discontinued | $9.77 | $10.00 | $11.48 |
Where Missouri sits
The same service costs 51.3 times more in Oklahoma than in New York. 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· 15th of 51
$105
OK $2,570NY $50.12
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.