How much rates vary
Facilitymedian $646 · 10th to 90th $275 to $1,585Professionalmedian $363 · 10th to 90th $245 to $2,344
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 $251.19 Median $380.19 Typical High $2,691.53 | Facility | None | $251.19 | $380.19 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $251.19 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $61.66 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $363.08 | Professional | TC · Technical part | $186.21 | $218.78 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $204.17 | Professional | None (both parts) | $173.78 | $199.53 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $67.61 | $81.28 |
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 $234.42 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $234.42 | $363.08 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $109.65 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $162.18 | $239.88 | $338.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $380.19 | Professional | None (both parts) | $251.19 | $275.42 | $380.19 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $60.26 | $85.11 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $199.53 | $213.80 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,000.00 | Facility | None | $478.63 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $234.42 | $302.00 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $66.07 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $245.47 | $457.09 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $1,174.90 | Facility | None | $331.13 | $524.81 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $2,344.23 Typical High $2,344.23 | Professional | None (both parts) | $309.03 | $2,344.23 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $64.57 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $239.88 | $1,862.09 | $1,862.09 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $275.42 | $354.81 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $58.88 | $85.11 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $218.78 | $275.42 | $478.63 |
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 $125.89 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $125.89 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $50.12 | $54.95 | $64.57 |
Where Missouri sits
The same service costs 3.3 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
$372
MN $676UT $204
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.