How much rates vary
Facilitymedian $3,981 · 10th to 90th $347 to $15,136Professionalmedian $646 · 10th to 90th $427 to $4,467
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 $2,511.89 Median $5,623.41 Typical High $13,803.84 | Facility | None | $2,511.89 | $5,623.41 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $457.09 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $194.98 Typical High $213.80 | Professional | 26 · Professional part | $186.21 | $194.98 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $316.23 | Professional | TC · Technical part | $275.42 | $281.84 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
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 $467.74 Median $645.65 Typical High $851.14 | Professional | None (both parts) | $467.74 | $645.65 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $263.03 Typical High $436.52 | Professional | 26 · Professional part | $213.80 | $263.03 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $363.08 Typical High $501.19 | Professional | TC · Technical part | $141.25 | $363.08 | $501.19 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $426.58 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $426.58 | $724.44 | $794.33 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $186.21 Typical High $275.42 | Professional | 26 · Professional part | $169.82 | $186.21 | $275.42 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $436.52 Typical High $478.63 | Professional | TC · Technical part | $251.19 | $436.52 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $21,877.62 | Facility | None | $891.25 | $891.25 | $21,877.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $524.81 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $218.78 Typical High $416.87 | Professional | 26 · Professional part | $169.82 | $218.78 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $309.03 | $602.56 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $1,258.93 Typical High $10,964.78 | Facility | None | $281.84 | $1,258.93 | $10,964.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $4,466.84 Typical High $4,466.84 | Professional | None (both parts) | $457.09 | $4,466.84 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $2,089.30 Typical High $2,089.30 | Professional | 26 · Professional part | $257.04 | $2,089.30 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $4,168.69 Typical High $4,168.69 | Professional | TC · Technical part | $144.54 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $245.47 Median $5,011.87 Typical High $22,908.68 | Facility | None | $245.47 | $5,011.87 | $22,908.68 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $575.44 Typical High $954.99 | Professional | None (both parts) | $398.11 | $575.44 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $323.59 Typical High $467.74 | Professional | 26 · Professional part | $173.78 | $323.59 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $275.42 Typical High $602.56 | Professional | TC · Technical part | $120.23 | $275.42 | $602.56 |
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 $229.09 Median $234.42 Typical High $263.03 | Professional | 52 · Reduced service | $229.09 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $95.50 Typical High $104.71 | Professional | 53 · Discontinued | $91.20 | $95.50 | $104.71 |
Where Missouri sits
The same service costs 3.0 times more in Wisconsin than in North 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· 15th of 51
$646
WI $1,000NC $331
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.