How much rates vary
Facilitymedian $813 · 10th to 90th $126 to $35,481Professionalmedian $589 · 10th to 90th $162 to $2,239
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 $120.23 Median $5,623.41 Typical High $54,954.09 | Facility | None | $120.23 | $5,623.41 | $54,954.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $131.83 Typical High $2,511.89 | Professional | None (both parts) | $79.43 | $131.83 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $89.13 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.84 Typical High $53.70 | Professional | TC · Technical part | $19.05 | $28.84 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
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 $398.11 Median $575.44 Typical High $2,238.72 | Professional | None (both parts) | $398.11 | $575.44 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $213.80 Typical High $323.59 | Professional | 26 · Professional part | $158.49 | $213.80 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $229.09 | $281.84 | $478.63 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $57.54 | $87.10 |
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 $83.18 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $83.18 | $165.96 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $125.89 Typical High $338.84 | Professional | 26 · Professional part | $63.10 | $125.89 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $41.69 Typical High $107.15 | Professional | TC · Technical part | $19.50 | $41.69 | $107.15 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $398.11 Typical High $10,715.19 | Facility | None | $123.03 | $398.11 | $10,715.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $870.96 Typical High $3,235.94 | Professional | None (both parts) | $512.86 | $870.96 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $354.81 Typical High $1,348.96 | Professional | 26 · Professional part | $204.17 | $354.81 | $1,348.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $512.86 Typical High $3,090.30 | Professional | TC · Technical part | $309.03 | $512.86 | $3,090.30 |
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 $331.13 Median $676.08 Typical High $1,148.15 | Professional | None (both parts) | $331.13 | $676.08 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $263.03 Typical High $363.08 | Professional | 26 · Professional part | $162.18 | $263.03 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $398.11 Typical High $912.01 | Professional | TC · Technical part | $173.78 | $398.11 | $912.01 |
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 $39.81 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $39.81 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $15.85 | $22.91 | $26.92 |
Where Missouri sits
The same service costs 4.8 times more in Nebraska 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· 5th of 51
$617
NE $724SC $151
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.