How much rates vary
Facilitymedian $407 · 10th to 90th $141 to $1,622Professionalmedian $170 · 10th to 90th $126 to $1,202
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 $131.83 Median $1,621.81 Typical High $2,691.53 | Facility | None | $131.83 | $1,621.81 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $128.82 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $28.84 | Professional | 26 · Professional part | $22.91 | $23.99 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $104.71 | $107.15 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
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 $123.03 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $123.03 | $151.36 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $16.60 | $24.55 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $95.50 | $109.65 | $177.83 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $144.54 | $158.49 | $239.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $33.88 | Professional | 26 · Professional part | $22.91 | $25.12 | $33.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $131.83 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $436.52 Typical High $660.69 | Facility | None | $213.80 | $436.52 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $128.82 | $162.18 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $22.91 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $269.15 | Professional | TC · Technical part | $107.15 | $134.90 | $269.15 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $602.56 | Facility | None | $141.25 | $263.03 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $165.96 | $1,202.26 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $12.02 | $199.53 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $144.54 | $1,122.02 | $1,122.02 |
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 $141.25 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $141.25 | $199.53 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $22.91 Typical High $39.81 | Professional | 26 · Professional part | $12.02 | $22.91 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $120.23 | $181.97 | $245.47 |
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 $63.10 Median $66.07 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $26.30 | $30.90 |
Where Missouri sits
The same service costs 3.7 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· 28th of 51
$170
AK $363UT $97.72
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.