How much rates vary
Facilitymedian $347 · 10th to 90th $129 to $1,047Professionalmedian $162 · 10th to 90th $115 to $1,047
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 $123.03 Median $169.82 Typical High $2,137.96 | Facility | None | $123.03 | $169.82 | $2,137.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $34.67 | Facility | 26 · Professional part | $20.42 | $26.30 | $34.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $186.21 | Facility | TC · Technical part | $93.33 | $117.49 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $114.82 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $20.42 | $22.91 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $102.33 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $75.86 | $81.28 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $15.85 | $22.39 | $30.90 |
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 $125.89 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $125.89 | $169.82 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $32.36 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $33.88 | $109.65 | $177.83 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $112.20 | $120.23 | $162.18 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $29.51 | Professional | 26 · Professional part | $20.89 | $22.91 | $29.51 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $93.33 | $100.00 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $512.86 | Facility | None | $213.80 | $354.81 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $104.71 | $134.90 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $19.95 | $23.99 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $112.20 | $204.17 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $363.08 Typical High $794.33 | Facility | None | $158.49 | $363.08 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $134.90 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $21.88 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $109.65 | $933.25 | $933.25 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
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 $120.23 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $120.23 | $151.36 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $26.30 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $97.72 | $128.82 | $229.09 |
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 $56.23 Median $61.66 Typical High $72.44 | Professional | 52 · Reduced service | $56.23 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $28.84 | Professional | 53 · Discontinued | $22.91 | $24.55 | $28.84 |
Where Missouri sits
The same service costs 4.0 times more in Minnesota 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
$162
MN $380UT $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.