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 $295.12 Median $295.12 Typical High $346.74 | Facility | None | $295.12 | $295.12 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $275.42 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $245.47 Typical High $288.40 | Professional | 26 · Professional part | $229.09 | $245.47 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $44.67 | $47.86 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $295.12 | $380.19 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $323.59 Typical High $446.68 | Professional | 26 · Professional part | $269.15 | $323.59 | $446.68 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $44.67 Typical High $125.89 | Professional | TC · Technical part | $29.51 | $44.67 | $125.89 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $281.84 | $295.12 | $457.09 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $245.47 Typical High $346.74 | Professional | 26 · Professional part | $234.42 | $245.47 | $346.74 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $44.67 | $47.86 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $891.25 | Facility | None | $162.18 | $162.18 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $269.15 | $338.84 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $288.40 Typical High $562.34 | Professional | 26 · Professional part | $229.09 | $288.40 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $141.25 | Professional | TC · Technical part | $34.67 | $45.71 | $141.25 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $630.96 Typical High $1,288.25 | Facility | None | $302.00 | $630.96 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $295.12 | $3,548.13 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $1,479.11 Typical High $1,479.11 | Professional | 26 · Professional part | $251.19 | $1,479.11 | $1,479.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $2,137.96 Typical High $2,137.96 | Professional | TC · Technical part | $38.02 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,023.29 | Facility | None | $977.24 | $977.24 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $263.03 | $354.81 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $302.00 Typical High $616.60 | Professional | 26 · Professional part | $223.87 | $302.00 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $102.33 | Professional | TC · Technical part | $34.67 | $46.77 | $102.33 |
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 $138.04 Median $147.91 Typical High $173.78 | Professional | 52 · Reduced service | $138.04 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $69.18 | Professional | 53 · Discontinued | $54.95 | $58.88 | $69.18 |
Where Missouri sits
The same service costs 3.3 times more in Minnesota 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· 20th of 51
$380
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.