How much rates vary
Facilitymedian $372 · 10th to 90th $138 to $1,622Professionalmedian $182 · 10th to 90th $129 to $1,230
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 $125.89 Median $190.55 Typical High $2,691.53 | Facility | None | $125.89 | $190.55 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $125.89 | $134.90 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $23.44 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $112.20 | $194.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $83.18 | $109.65 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $33.88 | Professional | 26 · Professional part | $19.05 | $26.30 | $33.88 |
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 $128.82 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $128.82 | $169.82 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $30.90 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $104.71 | $131.83 | $177.83 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $134.90 | $144.54 | $194.98 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $22.91 | $25.12 | $33.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $123.03 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $436.52 Typical High $645.65 | Facility | None | $213.80 | $436.52 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $125.89 | $158.49 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $25.70 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $263.03 | Professional | TC · Technical part | $107.15 | $134.90 | $263.03 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $602.56 | Facility | None | $134.90 | $263.03 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $165.96 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $20.42 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $138.04 | $1,122.02 | $1,122.02 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
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 $144.54 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $144.54 | $190.55 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $18.62 | $28.84 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $123.03 | $173.78 | $281.84 |
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 $25.70 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $26.30 | $30.90 |
Where Missouri sits
The same service costs 3.7 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· 21st of 51
$182
AK $355UT $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.