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 $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 $602.56 Median $630.96 Typical High $794.33 | Professional | None (both parts) | $602.56 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $338.84 Typical High $380.19 | Professional | 26 · Professional part | $323.59 | $338.84 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $288.40 Typical High $331.13 | Professional | TC · Technical part | $281.84 | $288.40 | $331.13 |
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 $691.83 Median $891.25 Typical High $1,258.93 | Professional | None (both parts) | $691.83 | $891.25 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $467.74 Typical High $724.44 | Professional | 26 · Professional part | $380.19 | $467.74 | $724.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $380.19 Typical High $630.96 | Professional | TC · Technical part | $309.03 | $380.19 | $630.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $549.54 Median $933.25 Typical High $1,023.29 | Professional | None (both parts) | $549.54 | $933.25 | $1,023.29 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $323.59 Typical High $467.74 | Professional | 26 · Professional part | $302.00 | $323.59 | $467.74 |
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 $1,584.89 Median $1,584.89 Typical High $21,877.62 | Facility | None | $1,584.89 | $1,584.89 | $21,877.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $691.83 Typical High $1,318.26 | Professional | None (both parts) | $537.03 | $691.83 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $371.54 Typical High $707.95 | Professional | 26 · Professional part | $295.12 | $371.54 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $234.42 | $323.59 | $602.56 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $1,258.93 Typical High $10,964.78 | Facility | None | $380.19 | $1,258.93 | $10,964.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $831.76 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $831.76 | $5,128.61 | $5,128.61 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $2,398.83 Typical High $2,398.83 | Professional | 26 · Professional part | $436.52 | $2,398.83 | $2,398.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $4,677.35 Typical High $4,677.35 | Professional | TC · Technical part | $416.87 | $4,677.35 | $4,677.35 |
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 $630.96 Median $1,122.02 Typical High $1,949.84 | Professional | None (both parts) | $630.96 | $1,122.02 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $549.54 Typical High $831.76 | Professional | 26 · Professional part | $302.00 | $549.54 | $831.76 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $575.44 Typical High $1,148.15 | Professional | TC · Technical part | $309.03 | $575.44 | $1,148.15 |
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 $302.00 Median $309.03 Typical High $346.74 | Professional | 52 · Reduced service | $302.00 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $125.89 Typical High $138.04 | Professional | 53 · Discontinued | $123.03 | $125.89 | $138.04 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 12th of 51
$1,000
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.