How much rates vary
Facilitymedian $389 · 10th to 90th $155 to $1,622Professionalmedian $182 · 10th to 90th $132 to $1,175
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 $131.83 Median $309.03 Typical High $2,691.53 | Facility | None | $131.83 | $309.03 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $125.89 | $141.25 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $22.39 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $112.20 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $91.20 | $93.33 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $17.78 | $28.84 | $32.36 |
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 $147.91 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $147.91 | $186.21 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $24.55 | $32.36 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $128.82 | $199.53 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $128.82 | $138.04 | $186.21 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $31.62 | Professional | 26 · Professional part | $21.88 | $23.99 | $31.62 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $117.49 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $416.87 Typical High $524.81 | Facility | None | $316.23 | $416.87 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $114.82 | $144.54 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $20.42 | $24.55 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $123.03 | $239.88 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $616.60 | Facility | None | $186.21 | $275.42 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $144.54 | $1,174.90 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $21.38 | $309.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $120.23 | $1,047.13 | $1,047.13 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $724.44 | Facility | None | $676.08 | $676.08 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $131.83 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $26.30 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $141.25 | $257.04 |
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 $63.10 Median $66.07 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $26.30 | $30.90 |
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
$186
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.