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 $134.90 Median $1,621.81 Typical High $2,691.53 | Facility | None | $134.90 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $120.23 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $30.90 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $97.72 | $107.15 | $125.89 |
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 $112.20 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $112.20 | $173.78 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $41.69 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $131.83 | $173.78 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $165.96 | $177.83 | $239.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $38.90 | $51.29 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $128.82 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $457.09 Typical High $630.96 | Facility | None | $213.80 | $457.09 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $138.04 | $173.78 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $31.62 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $147.91 | $275.42 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $281.84 Typical High $660.69 | Facility | None | $125.89 | $281.84 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $177.83 | $1,348.96 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $29.51 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $147.91 | $1,096.48 | $1,096.48 |
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 $158.49 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $158.49 | $204.17 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $173.78 | $309.03 |
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 $67.61 Median $70.79 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $28.18 | $31.62 |
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· 24th of 51
$195
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.