How much rates vary
Facilitymedian $1,380 · 10th to 90th $151 to $35,481Professionalmedian $302 · 10th to 90th $195 to $3,631
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 $223.87 Median $269.15 Typical High $4,570.88 | Professional | None (both parts) | $223.87 | $269.15 | $4,570.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $239.88 | Professional | 26 · Professional part | $162.18 | $186.21 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $60.26 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | 26 · Professional part | $251.19 | $251.19 | $263.03 |
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 $288.40 Typical High $3,630.78 | Professional | None (both parts) | $162.18 | $288.40 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $263.03 Typical High $1,513.56 | Professional | 26 · Professional part | $190.55 | $263.03 | $1,513.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $53.70 | $69.18 | $125.89 |
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 $165.96 Median $177.83 Typical High $239.88 | Professional | 26 · Professional part | $165.96 | $177.83 | $239.88 |
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 $208.93 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $208.93 | $295.12 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $229.09 Typical High $380.19 | Professional | 26 · Professional part | $162.18 | $229.09 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $48.98 | $69.18 | $120.23 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $457.09 Typical High $10,715.19 | Facility | None | $125.89 | $457.09 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $416.87 Typical High $10,715.19 | Professional | None (both parts) | $239.88 | $416.87 | $10,715.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $416.87 Typical High $5,888.44 | Professional | 26 · Professional part | $229.09 | $416.87 | $5,888.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $10,471.29 Typical High $10,471.29 | Professional | TC · Technical part | $53.70 | $10,471.29 | $10,471.29 |
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 $218.78 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $218.78 | $316.23 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $302.00 Typical High $457.09 | Professional | 26 · Professional part | $169.82 | $302.00 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $758.58 | Professional | TC · Technical part | $44.67 | $57.54 | $758.58 |
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 $120.23 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $47.86 | $48.98 | $54.95 |
Where Missouri sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 36th of 51
$324
WI $1,047MD $229
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.