How much rates vary
Facilitymedian $759 · 10th to 90th $275 to $1,660Professionalmedian $282 · 10th to 90th $234 to $1,622
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 $257.04 Median $1,621.81 Typical High $2,691.53 | Facility | None | $257.04 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $234.42 | $263.03 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $38.02 | $38.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $218.78 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $223.87 | $275.42 | $489.78 |
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 $275.42 Typical High $416.87 | Professional | None (both parts) | $234.42 | $275.42 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $41.69 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $199.53 | $234.42 | $354.81 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $239.88 | $263.03 | $346.74 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $38.02 | $41.69 | $54.95 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $204.17 | $218.78 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,584.89 | Facility | None | $489.78 | $758.58 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $218.78 | $275.42 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $42.66 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $234.42 | $457.09 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $676.08 Typical High $1,122.02 | Facility | None | $239.88 | $676.08 | $1,122.02 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $645.65 Typical High $1,621.81 | Professional | None (both parts) | $245.47 | $645.65 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $109.65 Typical High $234.42 | Professional | 26 · Professional part | $37.15 | $109.65 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $602.56 Typical High $1,380.38 | Professional | TC · Technical part | $208.93 | $602.56 | $1,380.38 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
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 $239.88 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $239.88 | $302.00 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $45.71 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $257.04 | $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 $117.49 Median $128.82 Typical High $151.36 | Professional | 52 · Reduced service | $117.49 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $51.29 | $60.26 |
Where Missouri sits
The same service costs 3.1 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· 33rd of 51
$282
AK $631UT $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.