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 $1,698.24 Median $5,623.41 Typical High $9,332.54 | Facility | None | $1,698.24 | $5,623.41 | $9,332.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $2,511.89 | Professional | None (both parts) | $331.13 | $331.13 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $302.00 | Professional | 26 · Professional part | $263.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $70.79 | $72.44 | $83.18 |
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 $398.11 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $398.11 | $549.54 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $389.05 Typical High $501.19 | Professional | 26 · Professional part | $281.84 | $389.05 | $501.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $107.15 | $181.97 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $257.04 Typical High $338.84 | Professional | 26 · Professional part | $239.88 | $257.04 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $645.65 Typical High $28,183.83 | Facility | None | $281.84 | $645.65 | $28,183.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $288.40 | $426.58 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $338.84 Typical High $537.03 | Professional | 26 · Professional part | $229.09 | $338.84 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $89.13 | $147.91 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $4,168.69 Typical High $15,135.61 | Facility | None | $588.84 | $4,168.69 | $15,135.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $870.96 Typical High $5,370.32 | Professional | None (both parts) | $446.68 | $870.96 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $588.84 Typical High $2,344.23 | Professional | 26 · Professional part | $331.13 | $588.84 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $338.84 Typical High $5,011.87 | Professional | TC · Technical part | $117.49 | $338.84 | $5,011.87 |
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 $371.54 Median $691.83 Typical High $1,148.15 | Professional | None (both parts) | $371.54 | $691.83 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $446.68 Typical High $660.69 | Professional | 26 · Professional part | $251.19 | $446.68 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $95.50 | $245.47 | $489.78 |
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 $165.96 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $66.07 | $67.61 | $77.62 |
Where Missouri sits
The same service costs 9.5 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· 21st of 51
$603
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.