How much rates vary
Facilitymedian $912 · 10th to 90th $224 to $15,136Professionalmedian $324 · 10th to 90th $204 to $1,122
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 $204.17 Median $234.42 Typical High $10,000.00 | Facility | None | $204.17 | $234.42 | $10,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $204.17 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $158.49 Typical High $173.78 | Professional | 26 · Professional part | $151.36 | $158.49 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | TC · Technical part | $53.70 | $53.70 | $60.26 |
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 $269.15 Median $323.59 Typical High $389.05 | Professional | None (both parts) | $269.15 | $323.59 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $213.80 Typical High $269.15 | Professional | 26 · Professional part | $177.83 | $213.80 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $70.79 | $107.15 | $125.89 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $190.55 | $199.53 | $346.74 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $147.91 Typical High $194.98 | Professional | 26 · Professional part | $144.54 | $147.91 | $194.98 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $50.12 | $52.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $309.03 Typical High $309.03 | Facility | None | $120.23 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $602.56 | Professional | None (both parts) | $181.97 | $251.19 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $186.21 Typical High $398.11 | Professional | 26 · Professional part | $138.04 | $186.21 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $181.97 | Professional | TC · Technical part | $44.67 | $63.10 | $181.97 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $758.58 Typical High $3,090.30 | Facility | None | $245.47 | $758.58 | $3,090.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $281.84 | $1,258.93 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $213.80 | $891.25 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $346.74 Typical High $512.86 | Professional | TC · Technical part | $72.44 | $346.74 | $512.86 |
United Setting Facility Modifier None Typical Low $245.47 Median $1,122.02 Typical High $22,908.68 | Facility | None | $245.47 | $1,122.02 | $22,908.68 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $194.98 | $380.19 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $281.84 Typical High $380.19 | Professional | 26 · Professional part | $144.54 | $281.84 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $50.12 | $95.50 | $181.97 |
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 $102.33 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $102.33 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $42.66 Typical High $46.77 | Professional | 53 · Discontinued | $40.74 | $42.66 | $46.77 |
Where Missouri sits
The same service costs 3.5 times more in Alaska than in Utah. 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
$324
AK $468UT $132
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.