How much rates vary
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 $2,454.71 Median $5,623.41 Typical High $13,803.84 | Facility | None | $2,454.71 | $5,623.41 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $776.25 Typical High $4,570.88 | Professional | None (both parts) | $707.95 | $776.25 | $4,570.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $416.87 Typical High $467.74 | Professional | 26 · Professional part | $389.05 | $416.87 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $346.74 | Professional | TC · Technical part | $302.00 | $309.03 | $346.74 |
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 $812.83 Median $1,148.15 Typical High $1,548.82 | Professional | None (both parts) | $812.83 | $1,148.15 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $630.96 Typical High $891.25 | Professional | 26 · Professional part | $436.52 | $630.96 | $891.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $691.83 | Professional | TC · Technical part | $323.59 | $416.87 | $691.83 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $407.38 Typical High $549.54 | Professional | 26 · Professional part | $380.19 | $407.38 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $28,183.83 | Facility | None | $3,715.35 | $5,370.32 | $28,183.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $912.01 Typical High $1,513.56 | Professional | None (both parts) | $616.60 | $912.01 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $524.81 Typical High $870.96 | Professional | 26 · Professional part | $371.54 | $524.81 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $630.96 | Professional | TC · Technical part | $251.19 | $363.08 | $630.96 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $4,168.69 Typical High $15,135.61 | Facility | None | $912.01 | $4,168.69 | $15,135.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,949.84 Typical High $10,715.19 | Professional | None (both parts) | $933.25 | $1,949.84 | $10,715.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $954.99 Typical High $4,466.84 | Professional | 26 · Professional part | $512.86 | $954.99 | $4,466.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $977.24 Typical High $10,000.00 | Professional | TC · Technical part | $446.68 | $977.24 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $6,025.60 Typical High $21,379.62 | Facility | None | $1,023.29 | $6,025.60 | $21,379.62 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,380.38 Typical High $2,344.23 | Professional | None (both parts) | $776.25 | $1,380.38 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $707.95 Typical High $1,023.29 | Professional | 26 · Professional part | $407.38 | $707.95 | $1,023.29 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $645.65 Typical High $1,288.25 | Professional | TC · Technical part | $354.81 | $645.65 | $1,288.25 |
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 $354.81 Median $363.08 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $144.54 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $144.54 | $162.18 |
Where Missouri sits
The same service costs 7.1 times more in Texas 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· 21st of 51
$1,318
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.