How much rates vary
Facilitymedian $363 · 10th to 90th $158 to $1,622Professionalmedian $178 · 10th to 90th $126 to $1,047
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 $141.25 Median $1,621.81 Typical High $2,691.53 | Facility | None | $141.25 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $117.49 | $128.82 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $25.12 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $95.50 | $102.33 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $95.50 | $95.50 | $144.54 |
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 $138.04 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $138.04 | $181.97 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $25.12 | $32.36 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $109.65 | $128.82 | $190.55 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $120.23 | $128.82 | $169.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $23.99 | $25.70 | $33.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $97.72 | $104.71 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $537.03 | Facility | None | $218.78 | $363.08 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $109.65 | $138.04 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $26.92 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $114.82 | $218.78 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $245.47 Typical High $562.34 | Facility | None | $125.89 | $245.47 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $141.25 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $21.38 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $112.20 | $912.01 | $912.01 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $125.89 | $165.96 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $19.05 | $29.51 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $147.91 | $229.09 |
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 $58.88 Median $64.57 Typical High $75.86 | Professional | 52 · Reduced service | $58.88 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $30.20 | Professional | 53 · Discontinued | $23.44 | $25.70 | $30.20 |
Where Missouri sits
The same service costs 3.3 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· 17th of 51
$182
AK $316UT $95.50
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.