How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,148 to $19,953Professionalmedian $1,479 · 10th to 90th $912 to $4,571
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 $13,803.84 | Facility | None | $1,698.24 | $5,623.41 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,000.00 Typical High $4,365.16 | Professional | None (both parts) | $870.96 | $1,000.00 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $676.08 Typical High $1,000.00 | Professional | 26 · Professional part | $616.60 | $676.08 | $1,000.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $213.80 | $218.78 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $812.83 Typical High $912.01 | Professional | 26 · Professional part | $691.83 | $812.83 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $9,772.37 Typical High $20,892.96 | Facility | None | $1,479.11 | $9,772.37 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $1,949.84 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $1,023.29 Typical High $1,380.38 | Professional | 26 · Professional part | $691.83 | $1,023.29 | $1,380.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $446.68 Typical High $758.58 | Professional | TC · Technical part | $354.81 | $446.68 | $758.58 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $660.69 Typical High $891.25 | Professional | 26 · Professional part | $616.60 | $660.69 | $891.25 |
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 $776.25 Median $1,122.02 Typical High $1,862.09 | Professional | None (both parts) | $776.25 | $1,122.02 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $831.76 Typical High $1,380.38 | Professional | 26 · Professional part | $588.84 | $831.76 | $1,380.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $177.83 | $263.03 | $446.68 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $4,466.84 Typical High $15,135.61 | Facility | None | $954.99 | $4,466.84 | $15,135.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,290.87 Typical High $10,715.19 | Professional | None (both parts) | $1,230.27 | $2,290.87 | $10,715.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $912.01 Median $3,630.78 Typical High $3,981.07 | Professional | 26 · Professional part | $912.01 | $3,630.78 | $3,981.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $549.54 Typical High $9,772.37 | Professional | TC · Technical part | $331.13 | $549.54 | $9,772.37 |
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 $1,000.00 Median $1,513.56 Typical High $2,570.40 | Professional | None (both parts) | $1,000.00 | $1,513.56 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $1,122.02 Typical High $1,659.59 | Professional | 26 · Professional part | $660.69 | $1,122.02 | $1,659.59 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $426.58 Typical High $891.25 | Professional | TC · Technical part | $323.59 | $426.58 | $891.25 |
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 $436.52 Median $446.68 Typical High $501.19 | Professional | 52 · Reduced service | $436.52 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $177.83 Typical High $199.53 | Professional | 53 · Discontinued | $173.78 | $177.83 | $199.53 |
Where Missouri sits
The same service costs 5.2 times more in Louisiana 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· 23rd of 51
$1,622
LA $4,677NY $891
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.