How much rates vary
Facilitymedian $457 · 10th to 90th $251 to $479Professionalmedian $219 · 10th to 90th $126 to $1,072
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 $245.47 Median $1,621.81 Typical High $2,691.53 | Facility | None | $245.47 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $114.82 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $74.13 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $69.18 | $120.23 |
BCBS Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Facility | None | $457.09 | $478.63 | $478.63 |
BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $457.09 | Facility | None | $125.89 | $147.91 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $128.82 | $257.04 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $114.82 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $128.82 | $204.17 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $281.84 | Facility | None | $151.36 | $281.84 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $151.36 | $1,071.52 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $69.18 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $74.13 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Facility | None | $123.03 | $123.03 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $125.89 | $165.96 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $77.62 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $79.43 | $151.36 |
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 $57.54 Median $72.44 Typical High $123.03 | Professional | 52 · Reduced service | $57.54 | $72.44 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.84 Typical High $48.98 | Professional | 53 · Discontinued | $22.91 | $28.84 | $48.98 |
Where Kansas sits
The same service costs 4.6 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.
Kansas· 8th of 51
$229
AK $316UT $69.18
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.