How much rates vary
Facilitymedian $282 · 10th to 90th $174 to $1,622Professionalmedian $182 · 10th to 90th $115 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 $120.23 Median $1,621.81 Typical High $2,691.53 | Facility | None | $120.23 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $114.82 | $120.23 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $61.66 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $58.88 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
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 $120.23 Median $194.98 Typical High $323.59 | Professional | None (both parts) | $120.23 | $194.98 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $89.13 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $60.26 | $89.13 | $181.97 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $120.23 | $128.82 | $169.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $66.07 | $87.10 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $58.88 | $63.10 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $457.09 | Facility | None | $181.97 | $223.87 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $107.15 | $138.04 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $67.61 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $67.61 | $144.54 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $281.84 Typical High $645.65 | Facility | None | $123.03 | $281.84 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $134.90 | $1,071.52 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $60.26 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $66.07 | $707.95 | $707.95 |
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 $123.03 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $123.03 | $162.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $72.44 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $89.13 | $147.91 |
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 $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $23.99 | $28.18 |
Where Missouri 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.
Missouri· 14th of 51
$182
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.