How much rates vary
Facilitymedian $759 · 10th to 90th $302 to $1,622Professionalmedian $324 · 10th to 90th $234 to $1,905
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 $275.42 Median $1,621.81 Typical High $2,691.53 | Facility | None | $275.42 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $234.42 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $229.09 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $204.17 | $204.17 | $208.93 |
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 $213.80 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $213.80 | $316.23 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $51.29 | $66.07 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $162.18 | $213.80 | $371.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $263.03 | $281.84 | $380.19 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $51.29 | $66.07 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $218.78 | $234.42 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,000.00 | Facility | None | $489.78 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $239.88 | $288.40 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $52.48 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $467.74 | Professional | TC · Technical part | $194.98 | $245.47 | $467.74 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $512.86 Typical High $1,202.26 | Facility | None | $263.03 | $512.86 | $1,202.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $288.40 | $1,905.46 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $45.71 | $588.84 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $245.47 | $1,621.81 | $1,621.81 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $269.15 | $338.84 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $56.23 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $223.87 | $288.40 | $512.86 |
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 $123.03 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $123.03 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $48.98 | $56.23 | $64.57 |
Where Missouri sits
The same service costs 3.0 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· 24th of 51
$324
AK $646UT $214
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.