How much rates vary
Facilitymedian $355 · 10th to 90th $138 to $1,622Professionalmedian $162 · 10th to 90th $123 to $1,023
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 $128.82 Median $489.78 Typical High $2,691.53 | Facility | None | $128.82 | $489.78 | $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 $19.50 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $19.50 | $23.99 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $95.50 | $104.71 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $89.13 | $93.33 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $33.88 Typical High $34.67 | Professional | 26 · Professional part | $17.78 | $33.88 | $34.67 |
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 $158.49 Typical High $208.93 | Professional | None (both parts) | $128.82 | $158.49 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $19.95 | $30.20 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $123.03 | $190.55 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $117.49 | $128.82 | $169.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $32.36 | Professional | 26 · Professional part | $22.91 | $25.12 | $32.36 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $102.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $363.08 Typical High $524.81 | Facility | None | $213.80 | $363.08 | $524.81 |
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 $20.42 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $25.70 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $89.13 | $117.49 | $223.87 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $245.47 Typical High $549.54 | Facility | None | $125.89 | $245.47 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $141.25 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $16.22 | $204.17 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $114.82 | $933.25 | $933.25 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
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 $162.18 Typical High $281.84 | Professional | None (both parts) | $125.89 | $162.18 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $14.79 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $141.25 | $234.42 |
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 $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $63.10 | $74.13 |
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 3.2 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· 19th of 51
$166
AK $302UT $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.