How much rates vary
Facilitymedian $1,380 · 10th to 90th $132 to $35,481Professionalmedian $229 · 10th to 90th $132 to $2,951
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 $17,378.01 | Facility | None | $2,454.71 | $5,623.41 | $17,378.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $4,570.88 | Professional | None (both parts) | $114.82 | $131.83 | $4,570.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $100.00 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $43.65 | Professional | TC · Technical part | $28.18 | $31.62 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $91.20 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,760.83 Median $51,286.14 Typical High $58,884.37 | Facility | None | $6,760.83 | $51,286.14 | $58,884.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $2,754.23 | Professional | None (both parts) | $162.18 | $234.42 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $1,513.56 | Professional | 26 · Professional part | $128.82 | $162.18 | $1,513.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $67.61 | $120.23 |
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 $81.28 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $87.10 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $21,877.62 Median $28,183.83 Typical High $35,481.34 | Facility | None | $21,877.62 | $28,183.83 | $35,481.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $102.33 | $169.82 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $128.82 Typical High $251.19 | Professional | 26 · Professional part | $79.43 | $128.82 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $23.99 | $41.69 | $79.43 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $10,715.19 | Facility | None | $123.03 | $380.19 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $316.23 Typical High $12,882.50 | Professional | None (both parts) | $181.97 | $316.23 | $12,882.50 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $263.03 Typical High $5,888.44 | Professional | 26 · Professional part | $169.82 | $263.03 | $5,888.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $38.90 Typical High $12,022.64 | Professional | TC · Technical part | $19.05 | $38.90 | $12,022.64 |
United Setting Facility Modifier None Typical Low $123.03 Median $616.60 Typical High $15,848.93 | Facility | None | $123.03 | $616.60 | $15,848.93 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $162.18 | $239.88 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $213.80 Typical High $269.15 | Professional | 26 · Professional part | $120.23 | $213.80 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $26.30 Typical High $162.18 | Professional | TC · Technical part | $10.23 | $26.30 | $162.18 |
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 $57.54 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $23.99 | $26.92 |
Where Missouri sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 28th of 51
$245
TN $2,344SC $126
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.